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