-----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, KH9a32BhqSWgPPXM5cEjaK2fxNE3JLiiplaEgGdtE2f1KCSiIe4mYWkc15+D3qBU 6c9KNTSYBaaJSbBMQyr88A== 0001140361-10-051159.txt : 20101223 0001140361-10-051159.hdr.sgml : 20101223 20101223122024 ACCESSION NUMBER: 0001140361-10-051159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101221 FILED AS OF DATE: 20101223 DATE AS OF CHANGE: 20101223 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: 101271388 MAIL ADDRESS: STREET 1: 402 WEST COUNTY RD D CITY: ST PAUL STATE: MN ZIP: 55112 4 1 doc1.xml FORM 4 X0303 4 2010-12-21 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 2010-12-21 4 A 0 4672 12.0906 A 101832 D Common Stock 2010-12-21 4 A 0 129 12.9348 A 101961 D Shares are attributable to a performance based non-qualified deferred compensation plan and are subject to vesting and a substantial risk of forfeiture. Shares have been acquired either in a private transaction or in the open market and are exempt under Rule 16b-3. Shares are attributable to a non-qualified deferred compensation plan and are subject to vesting and a substantial risk of forfeiture. Shares have been acquired either in a private transaction or in the open market and are exempt under Rule 16b-3. Kevin J Wiersma 2010-12-23 -----END PRIVACY-ENHANCED MESSAGE-----