0001161697-19-000277.txt : 20190702
0001161697-19-000277.hdr.sgml : 20190702
20190702165314
ACCESSION NUMBER: 0001161697-19-000277
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190628
FILED AS OF DATE: 20190702
DATE AS OF CHANGE: 20190702
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Allen Robert T
CENTRAL INDEX KEY: 0001761379
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 19938371
MAIL ADDRESS:
STREET 1: 7893 S ARGONNE CT
CITY: CENTENNIAL
STATE: CO
ZIP: 80016
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 06-28-2019
X0306
4
2019-06-28
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001761379
Allen Robert T
C/O REPRO MED SYSTEMS, INC.
24 CARPENTER ROAD
CHESTER
NY
10918
1
0
0
0
Common Stock
2019-06-28
4
A
0
2170
2.88
A
6632
D
Common Stock
10000
I
By Living Trust
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/ Robert T. Allen
2019-07-02