0001161697-22-000008.txt : 20220103 0001161697-22-000008.hdr.sgml : 20220103 20220103161944 ACCESSION NUMBER: 0001161697-22-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220103 DATE AS OF CHANGE: 20220103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldberger Daniel S CENTRAL INDEX KEY: 0001382042 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39086 FILM NUMBER: 22502378 MAIL ADDRESS: STREET 1: 24 CARPENTER ROAD CITY: CHESTER STATE: NY ZIP: 10918 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 12-31-2021 X0306 4 2021-12-31 0 0000704440 REPRO MED SYSTEMS INC KRMD 0001382042 Goldberger Daniel S C/O REPRO MED SYSTEMS, INC 24 CARPENTER ROAD CHESTER NY 10918 1 0 0 0 Common Stock 2021-12-31 4 A 0 5000 3.00 A 115113 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 2022-01-03