0001140361-12-019242.txt : 20120404
0001140361-12-019242.hdr.sgml : 20120404
20120404164900
ACCESSION NUMBER: 0001140361-12-019242
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120403
FILED AS OF DATE: 20120404
DATE AS OF CHANGE: 20120404
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: 12742480
MAIL ADDRESS:
STREET 1: 402 WEST COUNTY RD D
CITY: ST PAUL
STATE: MN
ZIP: 55112
4
1
doc1.xml
FORM 4
X0305
4
2012-04-03
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
2012-04-03
4
A
0
1295
17.37
A
104605
D
Common Stock
2012-04-03
4
A
0
16522
17.37
A
121127
D
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.
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.
Kevin J Wiersma
2012-04-04