X0508 4 2023-08-01 0 0000704440 KORU Medical Systems, Inc. KRMD 0001939226 Adams Thomas Edward 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 3.34 2031-12-01 Common Stock 200000 200000 D Options to Purchase Common Stock 2.54 2023-08-01 4 A 0 100000 0 A 2033-08-01 Common Stock 100000 100000 D Shares are subject to a 4 year vesting schedule. 25% of the Shares vest on the 1 year anniversary of the 12/01/2021 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. Nonqualified stock options granted pursuant to the Company's 2021 Omnibus Equity Incentive Plan. Options vest in increments of 25,000 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. Power of Attorney has been previously filed. /s/ Stephen Unger, Attorney-in-Fact 2023-08-03