3 1 form3puskas.txt FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Puskas, Susan E 6994 W Shadow Lake Road Lino Lakes, MN 55014 2. Date of Event Requiring Statement (Month/Day/Year) 8/20/2002 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Issuer Name and Ticker or Trading Symbol MEDTOX SCIENTIFIC, INC. (TOX) 5. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) V.P. Quality Assurance and Regulatory Affairs 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person
Table I Non-Derivative Securities Beneficially Owned ----------------------------------------------------------------------------------------------------- 1)Title of Security 2)Amount of 3) 4)Nature of Securities D Indirect Beneficially or Beneficial Owned I Ownership ----------------------------------------------------------------------------------------------------- Common Stock 250 D Direct Restricted Stock 8,608 (1) D Direct Table II Derivative Securitites Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative Security 2)Date Exercisable 3)Title and Amount of 4)Conver- 5)Ownership 6)Nature of and Expiration Date Securities Underlying sion or Form of Indirect (Month/Day/Year) Derivative Security exercise Derivative Beneficial price of Security Ownership Date Expira- Amount or Deri- Direct(D) Exer- tion Number of vative or cisable Date Title Shares Security Indirect(I) ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right to01/01/02 01/01/12 Common Stock 4,400 $10.2727 D Direct buy) (2) Non-Qualified Stock Option 08/13/99 08/13/09 Common Stock 1,834 $5.9318 D Direct (right to buy) (2) Non-Qualified Stock Option 03/01/98 03/01/08 Common Stock 1,834 $7.1591 D Direct (right to buy) (2) Incentive Stock Option (right to05/01/01 05/01/11 Common Stock 8,556 $6.3818 D Direct buy) (2) Incentive Stock Option (right to11/01/00 11/01/10 Common Stock 2,138 $9.8693 D Direct buy) (2) Explanation of Responses: (1) 1,815 shares vest on 5/1/03 908 shares vest on 11/1/03 4,235 shares vest on 5/1/04 1,650 shares vest on 1/1/05 (2) Options vest daily beginning on DATE EXERCISABLE and continue vesting over a 3 year period.
SIGNATURE OF REPORTING PERSON /S/ Puskas, Susan E DATE 08/22/02