-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MjBE1tt1Xw3NK2tixlVWimifYYk8XJrJFkZW5TyKRZinVe4HgPfvsJ45QpQwMpgf 2bVVAl6XSGt4QFT2wiNYMg== 0001140361-10-046105.txt : 20101116 0001140361-10-046105.hdr.sgml : 20101116 20101116180701 ACCESSION NUMBER: 0001140361-10-046105 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101115 FILED AS OF DATE: 20101116 DATE AS OF CHANGE: 20101116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDTOX SCIENTIFIC INC CENTRAL INDEX KEY: 0000739944 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 953863205 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 402 WEST COUNTY ROAD D CITY: ST PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 6126367466 MAIL ADDRESS: STREET 1: 402 WEST COUNTY ROAD D CITY: ST PAUL STATE: MN ZIP: 55112 FORMER COMPANY: FORMER CONFORMED NAME: EDITEK INC DATE OF NAME CHANGE: 19940902 FORMER COMPANY: FORMER CONFORMED NAME: ENVIRONMENTAL DIAGNOSTICS INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WIERSMA KEVIN J CENTRAL INDEX KEY: 0001187451 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11394 FILM NUMBER: 101197688 MAIL ADDRESS: STREET 1: 402 WEST COUNTY RD D CITY: ST PAUL STATE: MN ZIP: 55112 4 1 doc1.xml FORM 4 X0303 4 2010-11-15 0 0000739944 MEDTOX SCIENTIFIC INC MTOX 0001187451 WIERSMA KEVIN J 402 WEST COUNTY ROAD D ST. PAUL MN 55112 0 1 0 0 V.P., COO-Labs, and CFO Common Stock 2010-11-15 4 M 0 21999 4.2545 A 104471 D Common Stock 2010-11-15 4 F 0 7311 12.80 D 97160 D Incentive Stock Option (right to buy) 4.2545 2010-11-15 4 M 0 21999 12.80 D 2001-05-01 2011-05-01 Common Stock 21999 0 D Kevin J Wiersma 2010-11-16 -----END PRIVACY-ENHANCED MESSAGE-----