SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LAMPROPOULOS FRED P
(Last) (First) (Middle)
1600 W MERIT PARKWAY
(Street)
SOUTH JORDAN UT 84095
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MERIT MEDICAL SYSTEMS INC [ MMSI ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
11/15/2010
4. If Amendment, Date of Original Filed (Month/Day/Year)
 6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, No Par Value 11/15/2010 S 5,000 D $15.439(1) 750,369 D
Common Stock, No Par Value 64,879 I By 401(k) Plan(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-qualified stock options (right to buy) $2.85 05/23/2001 05/23/2011 Common Stock 27,777 27,777 D
Non-qualified stock options (right to buy) $7.61 12/08/2002(3) 12/08/2011 Common Stock 88,889 88,889 D
Non-qualified stock options (right to buy) $9.56 05/23/2002 05/23/2012 Common Stock 17,777 17,777 D
Non-qualified stock options (right to buy) $9.74 02/06/2004(4) 02/06/2013 Common Stock 71,111 71,111 D
Non-qualified stock options (right to buy) $10.47 05/22/2003 05/22/2013 Common Stock 26,667 26,667 D
Non-qualified stock options (right to buy) $21.67 12/13/2004(5) 12/13/2013 Common Stock 28,000 28,000 D
Non-qualified stock options (right to buy) $21.67 12/13/2003 12/13/2013 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $13.81 06/10/2004 06/10/2014 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $13.81 06/10/2004 06/10/2014 Common Stock 12,000 12,000 D
Non-qualified stock options (right to buy) $15.03 12/18/2004 12/18/2014 Common Stock 40,000 40,000 D
Non-qualified stock options (right to buy) $14.26 05/25/2005 05/25/2015 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $17.99 07/15/2005 07/15/2015 Common Stock 75,000 75,000 D
Non-qualified stock options (right to buy) $12.14 12/28/2005 12/28/2015 Common Stock 40,000 40,000 D
Non-qualified stock options (right to buy) $11.52 05/25/2007(6) 05/25/2013 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $12.13 06/27/2008(7) 06/27/2014 Common Stock 40,000 40,000 D
Non-qualified stock options (right to buy) $12.13 06/27/2008(7) 06/27/2014 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $14.41 05/21/2009(8) 05/21/2015 Common Stock 55,000 55,000 D
Non-qualified stock options (right to buy) $17.28 09/26/2010(9) 09/26/2016 Common Stock 20,000 20,000 D
Explanation of Responses:
1. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.31 to $15.45, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in footnote (1) to this Form 4.
2. Represents plan holdings as of November 12, 2010.
3. Becomes exercisable in equal annual installments of 20% commencing 12/8/2002.
4. Becomes exercisable in equal annual installments of 20% commencing 2/6/2004.
5. Becomes exercisable in equal annual installments of 20% commencing 12/13/2004.
6. Becomes exercisable in equal annual installments of 33.33% commencing 5/25/2007.
7. Becomes exercisable in equal annual installments of 20% commencing 6/27/2008.
8. Becomes exercisable in equal annual installments of 20% commencing 5/21/2009.
9. Becomes exercisable in equal annual installments of 20% commencing 9/26/2010.
Rashelle Perry, Attorney-in-Fact 11/17/2010
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.