X0508 4 2023-11-15 0 0000704440 KORU Medical Systems, Inc. KRMD 0001999516 Miller Kenneth E C/O KORU MEDICAL SYSTEMS, INC. 100 CORPORATE DRIVE MAHWAH NJ 07430 0 1 0 0 Chief Commercial Officer 0 Option to buy Common Stock 2.18 2023-11-15 4 A 0 200000 0 A 2033-11-15 Common Stock 200000 200000 D Option to buy Common Stock 2.18 2023-11-15 4 A 0 200000 0 A 2033-11-15 Common Stock 200000 400000 D Nonqualified stock options granted as an inducement to employment. Options vest in increments of 50,000 on the first anniversary of the date of grant and each anniversary thereafter until fully vested. Nonqualified stock options awards vest based on a schedule of the Company's net sales growth targets for each of the fiscal years ended 12/31/2024 through 12/31/2026. 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/ Thomas Adams, Attorney-In-Fact 2023-11-17