X0303 4 2008-09-15 0000764579 CAS MEDICAL SYSTEMS INC CASM 0001445220 Harris Nathan C/O CAS MEDICAL SYSTEMS, INC. 44 EAST INDUSTRIAL ROAD BRANFORD CT 06405 0 1 0 0 VP Sales and Marketing Common Stock 2008-09-15 4 P 0 100 3.74 A 100 D Common Stock 2008-09-15 4 P 0 2400 3.66 A 2500 D Common Stock 2008-09-15 4 A 0 20000 0 A 22500 D Employee Stock Option (right to buy) 3.95 2008-09-15 4 A 0 80000 A 2018-09-15 Common Stock 80000 80000 D Grant of restricted stock vesting in two equal annual installments from the date of grant. The option will vest over four years with 25% becoming exercisable on on each anniversary of the date of grant. The options will be fully exercisable on September 15, 2012. Grant of stock options; no consideration paid to or received by reporting person in connection with this transaction. /s/ Nathan Harris 2008-09-16