X0609 4 2026-07-01 0 0000704440 KORU Medical Systems, Inc. KRMD 0002080271 KALBERMATTEN ADAM R false C/O KORU MEDICAL SYSTEMS, INC. 100 CORPORATE DRIVE MAHWAH NJ 07430 0 1 0 0 President and CEO 0 Performance Stock Unit 2026-07-01 4 A 0 286697 0 A Common Stock 286697 286697 D Performance stock unit awards pursuant to reporting person's amended and restated employment agreement, of which 215,023 may vest based on a target of the Company's net sales growth on or prior to 12/31/2030 and 71,674 may vest based on a target of the Company's market capitalization at 12/31/2030. 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 2026-07-02