0001161697-21-000474.txt : 20211004
0001161697-21-000474.hdr.sgml : 20211004
20211004161724
ACCESSION NUMBER: 0001161697-21-000474
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210930
FILED AS OF DATE: 20211004
DATE AS OF CHANGE: 20211004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Matin Shahriar
CENTRAL INDEX KEY: 0001396270
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39086
FILM NUMBER: 211302955
MAIL ADDRESS:
STREET 1: 96 TALAMINE COURT
CITY: COLORADO SPRINGS
STATE: CO
ZIP: 80907
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 09-30-2021
X0306
4
2021-09-30
0
0000704440
REPRO MED SYSTEMS INC
KRMD
0001396270
Matin Shahriar
C/O REPRO MED SYSTEMS, INC.
24 CARPENTER ROAD
CHESTER
NY
10918
1
0
0
0
Common Stock
2021-09-30
4
A
0
5263
2.85
A
11617
D
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. Power of Attorney has been previously filed.
/s/ Karen Fisher, Attorney-in-Fact
2021-10-04