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