0001161697-18-000438.txt : 20180912 0001161697-18-000438.hdr.sgml : 20180912 20180912161710 ACCESSION NUMBER: 0001161697-18-000438 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180904 FILED AS OF DATE: 20180912 DATE AS OF CHANGE: 20180912 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pettigrew Donald B CENTRAL INDEX KEY: 0001751997 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12305 FILM NUMBER: 181067018 MAIL ADDRESS: STREET 1: 7871 ENGEN LOOP CITY: PARK CITY STATE: UT ZIP: 84098 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: REPRO MED SYSTEMS INC CENTRAL INDEX KEY: 0000704440 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 133044880 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 24 CARPENTER RD CITY: CHESTER STATE: NY ZIP: 10918 BUSINESS PHONE: 845-469-2042 MAIL ADDRESS: STREET 1: 24 CARPENTER RD CITY: CHESTER STATE: NY ZIP: 10918 3 1 form_3.xml FORM 3 FOR 09-04-2018 X0206 3 2018-09-04 0 0000704440 REPRO MED SYSTEMS INC REPR 0001751997 Pettigrew Donald B REPRO MED SYSTEMS, INC. 24 CARPENTER ROAD CHESTER NY 10918 0 1 0 0 Pres./Chief Commercial Officer Common Stock 0 D Options to Purchase Common Stock 1.23 2023-09-04 Common Stock 1000000 D REPRO MED SYSTEMS, INC. d/b/a RMS Medical Products (the "Company") hired Mr. Pettigrew on September 4, 2018 and as part of his employment agreement he was awarded these non-qualified stock options on the same date under the Company's 2015 Stock Option Plan, as amended. Twenty-five percent (25%) of the options shall vest as of the one (1) year anniversary of September 4, 2018, and (ii) twelve and one-half percent (12.5%) of the options shall vest every six (6) months thereafter until fully vested, subject to acceleration in accordance with the terms of the award agreement. /s/ Donald B. Pettigrew 2018-09-12