-----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, Kbumt8SGDw8MZ3b1gAi/OEA+QGbRGqelvtzoV7H3vgOJBsKUJ2TXtVJsH/rtMqh1 XkV+jQUbkE9+9agI500DBA== 0001189061-05-000018.txt : 20050822 0001189061-05-000018.hdr.sgml : 20050822 20050822151837 ACCESSION NUMBER: 0001189061-05-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050819 FILED AS OF DATE: 20050822 DATE AS OF CHANGE: 20050822 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: POWELL SAMUEL C CENTRAL INDEX KEY: 0001189061 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11394 FILM NUMBER: 051040861 BUSINESS ADDRESS: STREET 1: 998 E LAKE DIRVE CITY: BURLINGTON STATE: NC ZIP: 27215 BUSINESS PHONE: 3362296201 4 1 form4powell081905_ex.xml PRIMARY DOCUMENT X0202 4 2005-08-19 0 0000739944 MEDTOX SCIENTIFIC INC TOX 0001189061 POWELL SAMUEL C 998 E LAKE DRIVE BURLINGTON NC 27215 1 0 0 0 Common Stock 2005-08-19 4 A 0 195 7.5419 A 267323 D Shares are attributable to a deferral of one-half of directors annual fees with three year vesting and subject to a substantial risk of forfeiture. Shares have been acquired either in a private transaction or in the open market and are exempt under Rule 16b-3. Samuel C. Powell 2005-08-22 -----END PRIVACY-ENHANCED MESSAGE-----