0001161697-19-000137.txt : 20190402
0001161697-19-000137.hdr.sgml : 20190402
20190402173612
ACCESSION NUMBER: 0001161697-19-000137
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190401
FILED AS OF DATE: 20190402
DATE AS OF CHANGE: 20190402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Goldberger Daniel S
CENTRAL INDEX KEY: 0001382042
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 19726617
MAIL ADDRESS:
STREET 1: 24 CARPENTER ROAD
CITY: CHESTER
STATE: NY
ZIP: 10918
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 04-01-2019
X0306
4
2019-04-01
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001382042
Goldberger Daniel S
644 COLLEGE AVENUE
BOULDER
CO
80302
1
0
0
1
Chairman of the Board
Common Stock
2019-04-01
4
A
0
90604
1.49
A
94422
D
Per Mr. Goldberger's employment agreement dated October 12, 2018, on April 1, 2019, Mr. Goldberger was paid a performance bonus equaling 50% of the initial annual base salary, plus 50% of the initial target bonus, payable to the person who first succeeded Mr. Goldberger as chief executive officer of the company. In accordance with the terms of the agreement and as approved by the Board of Directors, the bonus was paid half in cash and half in shares of common stock.
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/ Daniel Goldberger
2019-04-02