0001161697-19-000319.txt : 20190806
0001161697-19-000319.hdr.sgml : 20190806
20190806172252
ACCESSION NUMBER: 0001161697-19-000319
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190802
FILED AS OF DATE: 20190806
DATE AS OF CHANGE: 20190806
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Marques Manuel A
CENTRAL INDEX KEY: 0001761381
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 191003184
MAIL ADDRESS:
STREET 1: 172 CEDAR STREET
CITY: RIDGEFIELD PARK
STATE: NJ
ZIP: 07660
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 08-02-2019
X0306
4
2019-08-02
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001761381
Marques Manuel A
REPRO MED SYSTEMS, INC.
24 CARPENTER ROAD
CHESTER
NY
10918
0
1
0
0
Chief Operating Officer
Common Stock
2019-08-02
4
M
0
95000
0.36
A
95000
D
Options to Purchase Common Stock
0.36
2019-08-02
4
M
0
95000
0
D
2017-11-17
2020-11-16
Common Stock
95000
600000
D
/s/ Manuel A. Marques
2019-08-06