0001140361-11-054952.txt : 20111123
0001140361-11-054952.hdr.sgml : 20111123
20111123171810
ACCESSION NUMBER: 0001140361-11-054952
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111122
FILED AS OF DATE: 20111123
DATE AS OF CHANGE: 20111123
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: 111225949
MAIL ADDRESS:
STREET 1: 402 WEST COUNTY RD D
CITY: ST PAUL
STATE: MN
ZIP: 55112
4
1
doc1.xml
FORM 4
X0304
4
2011-11-22
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
2011-11-22
4
M
0
9900
6.8485
A
123634
D
Common Stock
2011-11-22
4
F
0
4955
13.68
D
118679
D
Common Stock
2011-11-22
4
F
0
1844
13.68
D
116835
D
Non-Qualified Stock Option (right to buy)\
6.8485
2011-11-22
4
M
0
9900
13.68
D
2002-01-01
2012-01-01
Common Stock
9900
0
D
Kevin J Wiersma
2011-11-22