0001161697-19-000281.txt : 20190702 0001161697-19-000281.hdr.sgml : 20190702 20190702165603 ACCESSION NUMBER: 0001161697-19-000281 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: Beck James M CENTRAL INDEX KEY: 0001761683 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12305 FILM NUMBER: 19938427 MAIL ADDRESS: STREET 1: 63 WOODLAND DRIVE #202 CITY: VERO BEACH STATE: FL ZIP: 32962 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 0001761683 Beck James M C/O REPRO MED SYSTEMS, INC. 24 CARPENTER ROAD CHESTER NY 10918 1 0 0 0 Common Stock 21276 I By Trust Common Stock 2019-06-28 4 A 0 2170 2.88 A 42414 D Mr. Beck is co-trustee with his wife of the Ellen H Beck Revocable Trust, of which Mr. Beck and his children are beneficiaries. 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/ James M. Beck 2019-07-02