<SEC-DOCUMENT>0001161697-21-000474-index.html : 20211004
<SEC-HEADER>0001161697-21-000474.hdr.sgml : 20211004
<ACCEPTANCE-DATETIME>20211004161724
ACCESSION NUMBER:		0001161697-21-000474
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20210930
FILED AS OF DATE:		20211004
DATE AS OF CHANGE:		20211004

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Matin Shahriar
		CENTRAL INDEX KEY:			0001396270

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-39086
		FILM NUMBER:		211302955

	MAIL ADDRESS:	
		STREET 1:		96 TALAMINE COURT
		CITY:			COLORADO SPRINGS
		STATE:			CO
		ZIP:			80907

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
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>form_4.xml
<DESCRIPTION>FORM 4 FOR 09-30-2021
<TEXT>
Document 1 - file: form_4.html

Document 1 - RAW XML: form_4.xml

</DOCUMENT>
</SEC-DOCUMENT>