KORU Medical Systems, Inc. (the Company) has entered into Amendment No. 1 to its Amended and Restated Manufacturing and Supply Agreement with Command Medical Products, LLC (Command). The amendment extends the initial term of the agreement from January 1, 2024, to December 31, 2031, with automatic one-year renewals thereafter unless terminated with 180 days' notice. Key modifications include changes to pricing and payment terms, the establishment of a second manufacturing site by Command by December 31, 2027, with KORU having termination rights if this is not met. Command will become the exclusive manufacturer for a defined set of Products, and intellectual property ownership and assignment rights have been clarified. The non-competition provision has been removed, and the wind-up period provisions have been broadened.