0001161697-18-000591.txt : 20181219
0001161697-18-000591.hdr.sgml : 20181219
20181219161859
ACCESSION NUMBER: 0001161697-18-000591
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180928
FILED AS OF DATE: 20181219
DATE AS OF CHANGE: 20181219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baker Paul Mark
CENTRAL INDEX KEY: 0001329500
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 181243667
MAIL ADDRESS:
STREET 1: 20 COOLIDGE CT
CITY: MIDDLETOWN
STATE: NY
ZIP: 10940
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/A
1
form_4.xml
FORM 4/A AMENDMENT NO. 1 FOR 09-28-2018
X0306
4/A
2018-09-28
2018-10-02
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001329500
Baker Paul Mark
35 MAIDEN LANE
GOSHEN
NY
10924
1
0
0
0
Common Stock
2018-09-28
4
A
0
1894
1.65
A
748047
D
Common Stock
1121500
I
By Spouse
The original Form 4, filed on 10/2/18, incorrectly reported the amount of securities beneficially owned following reported transaction (i) as all beneficially owned directly by the reporting person wherein only a portion was directly owned by the reporting person and a portion was owned by the reporting person's wife, and (ii) including an additional 200 shares that are not beneficially owned, directly or indirectly, by the reporting person.
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/ Paul M. Baker
2018-12-19