0001140361-11-048065.txt : 20111004
0001140361-11-048065.hdr.sgml : 20111004
20111004155729
ACCESSION NUMBER: 0001140361-11-048065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111003
FILED AS OF DATE: 20111004
DATE AS OF CHANGE: 20111004
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: 111123504
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
X0304
4
2011-10-03
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
2011-10-03
4
M
0
4125
6.8485
A
334157
D
Non-Qualified Stock Option (right to buy)
6.8485
2011-10-03
4
M
0
4125
12.49
D
2002-01-01
2012-01-01
Common Stock
4125
0
D
Samuel C Powell
2011-10-04