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