0001161697-20-000533.txt : 20201209
0001161697-20-000533.hdr.sgml : 20201209
20201209175551
ACCESSION NUMBER: 0001161697-20-000533
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201209
FILED AS OF DATE: 20201209
DATE AS OF CHANGE: 20201209
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pettigrew Donald B
CENTRAL INDEX KEY: 0001751997
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39086
FILM NUMBER: 201378822
MAIL ADDRESS:
STREET 1: 7871 ENGEN LOOP
CITY: PARK CITY
STATE: UT
ZIP: 84098
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: REPRO MED SYSTEMS INC
CENTRAL INDEX KEY: 0000704440
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 133044880
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 24 CARPENTER RD
CITY: CHESTER
STATE: NY
ZIP: 10918
BUSINESS PHONE: 845-469-2042
MAIL ADDRESS:
STREET 1: 24 CARPENTER RD
CITY: CHESTER
STATE: NY
ZIP: 10918
4
1
form_4.xml
FORM 4 FOR 12-09-2020
X0306
4
2020-12-09
0
0000704440
REPRO MED SYSTEMS INC
KRMD
0001751997
Pettigrew Donald B
REPRO MED SYSTEMS, INC.
24 CARPENTER ROAD
CHESTER
NY
10918
0
1
0
0
Chief Executive Officer
Common Stock
2020-12-09
4
P
0
1000
5.07
A
1000
D
The filing of this statement shall not be construed as an admission (a) that the person filing this statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this statement, or (b) that this statement is legally required to be filed by such person.
/s/ Donald B. Pettigrew
2020-12-09