-----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, Wh63nC/nF48swYJxQ9BLw30HboNOLhFOuRid4xXhFe8/nGv2yeBYZnxqiGlrabc9 4LBJj9/qVDkbhkqI77/iiQ== 0001187451-07-000001.txt : 20070105 0001187451-07-000001.hdr.sgml : 20070105 20070105141157 ACCESSION NUMBER: 0001187451-07-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070103 FILED AS OF DATE: 20070105 DATE AS OF CHANGE: 20070105 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: 07513084 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 form4wiersma010307_ex.xml PRIMARY DOCUMENT X0202 4 2007-01-03 0 0000739944 MEDTOX SCIENTIFIC INC MTOX 0001187451 WIERSMA KEVIN J 14730 OAK LANE WAYZATA MN 55391 0 1 0 0 V.P., COO - Labs, and CFO Common Stock 2007-01-03 4 D 0 3616 13.37 D 54383 D Incentive Stock Option (right to buy) 1.5 1999-04-16 2009-04-16 Common Stock 22917 22917 D Incentive Stock Option (right to buy) 4.2545 2001-05-01 2011-05-01 Common Stock 21999 21999 D Incentive Stock Option (right to buy) 6.5796 2000-11-01 2010-11-01 Common Stock 18333 18333 D Non-Qualified Stock Option (right to buy) 3.7 2003-09-11 2013-12-31 Common Stock 30000 30000 D Non-Qualified Stock Option (right to buy) 3.9545 1999-08-13 2009-08-13 Common Stock 9168 9168 D Non-Qualified Stock Option (right to buy) 4.4067 2003-01-01 2013-01-01 Common Stock 15000 15000 D Non-Qualified Stock Option (right to buy) 4.7727 1998-03-01 2008-03-01 Common Stock 9168 9168 D Non-Qualified Stock Option (right to buy) 6.8485 2002-01-01 2012-01-01 Common Stock 9900 9900 D Shares withheld for payment of taxes for vested restricted stock Options vest daily beginning on DATE EXERCISABLE and continue vesting over a 3 year period. Kevin J. Wiersma 2007-01-05 -----END PRIVACY-ENHANCED MESSAGE-----