X0206 3 2023-07-10 0 0000704440 KORU Medical Systems, Inc. KRMD 0001850633 LaFrence Andrew D.C. C/O KORU MEDICAL SYSTEMS, INC. 100 CORPORATE DRIVE MAHWAH NJ 07430 0 1 0 0 Chief Financial Officer Common Stock 0 D Option to Purchase Shares of Common Stock 2.95 2033-07-14 Common Stock 300000 D Shares are subject to a 4 year vesting schedule. 25% of the Shares vest on the 1 year anniversary of the 07/15/2023 date of grant (the "Vesting Commencement Date"), and the remaining Shares vest as follows: 25% of the Shares at the end of each successive 12 month period following the Vesting Commencement Date. /s/ Andrew D. C. LaFrence 2023-07-18