0001140361-11-024190.txt : 20110502
0001140361-11-024190.hdr.sgml : 20110502
20110502131633
ACCESSION NUMBER: 0001140361-11-024190
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110429
FILED AS OF DATE: 20110502
DATE AS OF CHANGE: 20110502
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: POWELL SAMUEL C
CENTRAL INDEX KEY: 0001189061
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11394
FILM NUMBER: 11799489
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
4
1
doc1.xml
FORM 4
X0303
4
2011-04-29
0
0000739944
MEDTOX SCIENTIFIC INC
MTOX
0001189061
POWELL SAMUEL C
402 WEST COUNTY ROAD D
ST. PAUL
MN
55112
1
0
0
0
Common Stock
2011-04-29
4
M
0
4584
4.2545
A
328689
D
Non-Qualified Stock Option (right to buy)
4.2545
2011-04-29
4
M
0
4584
0
D
2001-05-01
2011-05-01
Common Stock
4584
0
D
Samuel C Powell
2011-05-02