X0508 4 2023-07-15 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 0 Options to Purchase Common Stock 2.95 2023-07-15 4 A 0 300000 0 A 2033-07-15 Common Stock 300000 300000 D Nonqualified stock options granted as an inducement to employment . Options vest in increments of 75,000 on the first anniversary of the date of grant and each anniversary thereafter until fully vested. 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/ Andrew D. C. LaFrence 2023-07-18