0001161697-20-000558.txt : 20201217 0001161697-20-000558.hdr.sgml : 20201217 20201217161138 ACCESSION NUMBER: 0001161697-20-000558 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201215 FILED AS OF DATE: 20201217 DATE AS OF CHANGE: 20201217 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: 001-39086 FILM NUMBER: 201396235 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 12-15-2020 X0306 4 2020-12-15 0 0000704440 REPRO MED SYSTEMS INC KRMD 0001761381 Marques Manuel A REPRO MED SYSTEMS, INC. 24 CARPENTER ROAD CHESTER NY 10918 0 1 0 0 Chief Operating Officer Common Stock 2020-12-15 4 F 0 26920 5.535 D 243080 D Common Stock 2020-12-15 4 M 0 62500 0.50 A 305580 D Common Stock 2020-12-15 4 M 0 75000 1.57 A 380580 D Options to Purchase Common Stock 0.50 2020-12-15 4 M 0 62500 0 D 2022-10-10 Common Stock 62500 62500 D Options to Purchase Common Stock 1.57 2020-12-15 4 M 0 75000 0 D 2020-01-28 2029-01-28 Common Stock 75000 225000 D Represents the payment of the exercise price of stock options through the delivery of previously owned shares to the issuer. The price is equal to the Fair Market Value of the Common Stock, as defined in the stock option award agreements, and is used to determine the value of the shares delivered to the issuer in payment of the exercise price. Options vest in 15,625 increments quarterly. Date Excercisable 01/11/2018-10/11/2020. /s/ Manuel A. Marques 2020-12-17