0001161697-19-000012.txt : 20190102 0001161697-19-000012.hdr.sgml : 20190102 20190102183726 ACCESSION NUMBER: 0001161697-19-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190102 DATE AS OF CHANGE: 20190102 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: 19503107 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 12-31-2018 X0306 4 2018-12-31 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 2018-12-31 4 A 0 1894 1.65 A 448961 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 2019-01-02