-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TNBXXpUGRkFfPtDFAt10r4EBirq3OAyyzvzlJi7/qsUB3n+OdLbC2QetG5GBMQp+ 1T6C4e51PmDY1Dykew43Sg== 0001182316-04-000002.txt : 20040504 0001182316-04-000002.hdr.sgml : 20040504 20040504163731 ACCESSION NUMBER: 0001182316-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040503 FILED AS OF DATE: 20040504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PUSKAS SUSAN E CENTRAL INDEX KEY: 0001182316 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11394 FILM NUMBER: 04778182 BUSINESS ADDRESS: STREET 1: 402 WEST COUNTRY ROAD D CITY: ST PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 6516367466 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 form4puskas050304_ex.xml X0202 4 2004-05-03 0 0000739944 MEDTOX SCIENTIFIC INC TOX 0001182316 PUSKAS SUSAN E 402 WEST COUNTRY ROAD D ST PAUL MN 55112 0 1 0 0 V.P. Quality & Reg Affairs Restricted Stock 2004-05-03 4 J 0 1100 9.25 D 15520 D Shares withheld for payment of taxes for vested restricted stock Susan E. Puskas 2004-05-04 -----END PRIVACY-ENHANCED MESSAGE-----