-----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, FQkPK/m+Ts0/f9UHLm8x0yRXR2Qu4raTkkAeXHJo1wLfj37YziIjQr81OOl/xQuB gVpXG7+SSeu7px5xuRzJAA== 0001184624-04-000002.txt : 20040930 0001184624-04-000002.hdr.sgml : 20040930 20040930104959 ACCESSION NUMBER: 0001184624-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20040930 DATE AS OF CHANGE: 20040930 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON BRIAN P CENTRAL INDEX KEY: 0001184624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11394 FILM NUMBER: 041054342 BUSINESS ADDRESS: STREET 1: 11621 TANGLEWOOD DR CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 BUSINESS PHONE: 9529415485 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 form4johnson093004_ex.xml X0202 4 2004-09-30 0 0000739944 MEDTOX SCIENTIFIC INC TOX 0001184624 JOHNSON BRIAN P 11621 TANGLEWOOD DR EDEN PRAIRIE MN 55347 1 0 0 0 Common Stock 2004-09-30 4 C 0 4307 5.805 A 30973 D Warrant (right to buy) 5.805 2004-09-30 4 C 0 4307 5.805 D 2002-09-30 2004-09-30 Common Stock 4307 0 D Brian P. Johnson 2004-09-30 -----END PRIVACY-ENHANCED MESSAGE-----