X0609 4 2026-03-17 0 0000704440 KORU Medical Systems, Inc. KRMD 0002080271 KALBERMATTEN ADAM R C/O KORU MEDICAL SYSTEMS, INC. 100 CORPORATE DRIVE MAHWAH NJ 07430 0 1 0 0 President-Chief Commercial Off 0 Restricted Stock Unit 2026-03-17 4 A 0 45098 0 A Common Stock 45098 45098 D Performance Stock Unit 2026-03-17 4 A 0 45098 0 A Common Stock 45098 45098 D Option to buy Common Stock 4.35 2026-03-17 4 A 0 67779 0 A 2036-03-17 Common Stock 67779 67779 D Each unit represents a right to receive one share of common stock underlying the vested award on the applicable vesting date. The units comprising the award vest in equal increments on March 17, 2027 and each first, second and third anniversaries thereof (each, a vesting date). These units will vest based upon the achievement of certain performance conditions as of December 31, 2028. The amount reported represents the amount of shares payable at target performance; the Reporting Person could earn 0%-150% of the amount reported depending on the level of performance achieved. These units will vest at 100% of the amount reported upon a change in control of the Company prior to December 31, 2028. 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 2026-03-18