4 1 form4turnanchik011603.txt FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. 1. Name and Address of Reporting Person(s) Turanchik, Michael F 610 Driftwood Drive Gibsonville, NC 27249 2. Issuer Name and Ticker or Trading Symbol MEDTOX SCIENTIFIC, INC. (TOX) 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) 4. Statement for Month/Year 01/03 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [ ] Officer (give title below) [X] Other (specify below) Research & Development Manager 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 Acquired, Disposed of, or Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of action action or Disposed of (D) Securities Indirect Date Code A Beneficially D Beneficial (Month/ or Owned at or Ownership Day/Year) Code V Amount D Price End of Month I ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 57 D Direct Restricted Stock 01/16/03 A 750 (1) A 1,850 D Direct Table II (PART 1) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6) ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and Security or Exercise action action Securities Acquired (A) Expiration Date Price of Date Code or Disposed of (D) Derivative Security Code V A D Exercisable Expiration ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right $10.2727 01/01/02 01/01/12 to buy) Incentive Stock Option (right $9.8694 11/01/00 11/01/10 to buy) Incentive Stock Option (right $52.2000 03/10/94 03/10/04 to buy) Non-Qualified Stock Option $5.9318 08/13/99 08/13/09 (right to buy) Non-Qualified Stock Option $7.1591 03/01/98 03/01/08 (right to buy) Table II (PART 2) Derivative Securities Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11) ------------------------------------------------------------------------------------------------------------------------------------ 1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of Security action of Underlying of Deri- Derivative Indirect Date Securities vative Securities D Beneficial Amount or Security Beneficially or Ownership Number of Owned at I - Title Shares End of Month ------------------------------------------------------------------------------------------------------------------------------------ Incentive Stock Option (right Common Stock 2,750 2,750 D Direct to buy) Incentive Stock Option (right Common Stock 3,056 3,056 D Direct to buy) Incentive Stock Option (right Common Stock 1,528 1,528 D Direct to buy) Non-Qualified Stock Option Common Stock 1,222 1,222 D Direct (right to buy) Non-Qualified Stock Option Common Stock 1,834 1,834 D Direct (right to buy) Explanation of Responses: (1) 1,100 shares vest on 1/01/05 750 shares vest on 1/16/06
SIGNATURE OF REPORTING PERSON /S/ By: Richard J. Braun For: Michael F. Turanchik DATE 01/20/03