-----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, RXI9Dfo8NiAODP32CJvDAmCxg3WjpUoyPe05wjhTGXpVvWrUD2uYV38sQQz0Uy5e /hXm2hhGz1ixntYDHv2GQQ== 0001187451-05-000002.txt : 20050104 0001187451-05-000002.hdr.sgml : 20050104 20050104172023 ACCESSION NUMBER: 0001187451-05-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050103 FILED AS OF DATE: 20050104 DATE AS OF CHANGE: 20050104 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: 05508752 BUSINESS ADDRESS: STREET 1: 402 WEST COUNTY ROAD D CITY: ST. PAUL STATE: MN ZIP: 55112 BUSINESS PHONE: 651-636-7466 MAIL ADDRESS: STREET 1: 402 WEST COUNTY RD D CITY: ST PAUL STATE: MN ZIP: 55112 4 1 form4wiersma010305_ex.xml X0202 4 2005-01-03 0 0000739944 MEDTOX SCIENTIFIC INC TOX 0001187451 WIERSMA KEVIN J 402 WEST COUNTY ROAD D ST. PAUL MN 55112 0 1 0 0 Vice President, CFO & COO Labs Restricted Stock 2005-01-03 4 J 0 1297 8.84 D 20805 D Shares withheld for payment of taxes for vested restricted stock Kevin J Wiersma 2005-01-04 -----END PRIVACY-ENHANCED MESSAGE-----