ITEM 5.03 AMENDMENT TO ARTICLES OF INCORPORATION OR BYLAWS; CHANGE IN FISCAL YEAR.

Effective August 13, 2026, the Board of Directors (the "Board") of KORU Medical Systems, Inc. (the "Company") unanimously adopted a resolution to amend Section 3.05 of the Company's Amended and Restated By-laws ("By-laws") to state that, in compliance with the Delaware General Corporation Law, the authority to remove a director from the Board is vested exclusively in the affirmative vote of shareholders holding a majority of the Company's outstanding shares. The Board has not previously voted to remove, and has not had any intention or agreement to vote to remove, any director from the Board.

A copy of the amendment to the By-laws is attached as Exhibit 3.1 hereto and incorporated by reference.