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