0001161697-18-000472.txt : 20181002
0001161697-18-000472.hdr.sgml : 20181002
20181002181118
ACCESSION NUMBER: 0001161697-18-000472
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180928
FILED AS OF DATE: 20181002
DATE AS OF CHANGE: 20181002
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pastreich Mark L
CENTRAL INDEX KEY: 0001521736
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 181102981
MAIL ADDRESS:
STREET 1: PO BOX 488
CITY: POUGHKEEPSIE
STATE: NY
ZIP: 12602
FORMER NAME:
FORMER CONFORMED NAME: Pastreich Mark
DATE OF NAME CHANGE: 20110525
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
4
1
form_4.xml
FORM 4 FOR 09-28-2018
X0306
4
2018-09-28
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001521736
Pastreich Mark L
ONE CIVIC CENTER PLAZA, SUITE 500
POUGHKEEPSIE
NY
12601
1
0
0
0
Common Stock
2018-09-28
4
A
0
1894
1.65
A
447067
D
Mark Pastreich as Trustee of Mark Pastreich Revocable Trust Dated 05/13/2014 Amended and Restated 04/19/2016.
The filing of this statement shall not be construed as an admission (a) that the person filing this statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this statement, or (b) that this statement is legally required to be filed by such person.
/s/ Mark Pastreich
2018-10-01