0001161697-19-000193.txt : 20190509
0001161697-19-000193.hdr.sgml : 20190509
20190509161520
ACCESSION NUMBER: 0001161697-19-000193
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190508
FILED AS OF DATE: 20190509
DATE AS OF CHANGE: 20190509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fisher Karen
CENTRAL INDEX KEY: 0001406771
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 19810720
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 05-08-2019
X0306
4
2019-05-08
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001406771
Fisher Karen
REPRO MED SYSTEMS, INC.
24 CARPENTER ROAD
CHESTER
NY
10918
0
1
0
0
Chief Financial Officer
Common Stock
2019-05-08
4
M
0
65000
0.38
A
65000
D
Options to Purchase Common Stock
0.38
2019-05-08
4
M
0
65000
0
D
2016-11-04
2020-11-04
Common Stock
65000
935000
D
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/ Karen Fisher
2019-05-09