-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, C5S1Z9eE4GfsKwJK1PMi/NxsBhgFbdrB8VH6UW1P/RYGew2rKVXSJxlAnQRMKpLP LIWgz0QUjgHAS7BPaAxTlA== 0000931731-03-000219.txt : 20030702 0000931731-03-000219.hdr.sgml : 20030702 20030702171416 ACCESSION NUMBER: 0000931731-03-000219 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030630 FILED AS OF DATE: 20030702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 03772831 BUSINESS ADDRESS: STREET 1: 79 WEST 4500 SOUTH STREET 2: SUITE 9 CITY: SALT LAKE CITY STATE: UT ZIP: 84107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MERIT MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000856982 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 870447695 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 WEST MERIT PARK WAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 8012531600 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 form4-kws063003_ex.xml X0101 4 2003-06-30 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 1 1 0 0 Chief Financial Officer Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 255423 5108460 A 255423 D Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 83273 1665460 A 83273 I Family limited partnership Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 26078 521560 A 26078 I 401(k) plan; holdings a/o 12/31/02 per latest plan stmt timely distributed Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 1923 38460 A 1923 D Non-qualified stock option - right to buy 3.68 1988-08-08 1988-08-08 4 A 0 15625 3.68 A 1999-09-30 2004-03-31 Common Stock 15625 15625 D Non-qualified stock option - right to buy 3.76 1988-08-08 1988-08-08 4 A 0 11719 3.68 A 1999-05-26 2004-05-26 Common Stock 11719 11719 D Non-qualified stock option - right to buy 4.1997 1988-08-08 1988-08-08 4 A 0 13673 4.1997 A 2000-04-23 2004-10-23 Common Stock 13673 13673 D Non-qualified stock option - right to buy 2.88 1988-08-08 1988-08-08 4 A 0 11719 2.88 A 2000-05-24 2005-05-24 Common Stock 11719 11719 D Non-qualified stock option - right to buy 2.88 1988-08-08 1988-08-08 4 A 0 31250 2.88 A 2001-01-24 2005-05-24 Common Stock 31250 31250 D Non-qualified stock option - right to buy 3.68 1988-08-08 1988-08-08 4 A 0 31250 3.68 A 2002-02-12 2011-02-12 Common Stock 31250 31250 D Non-qualified stock option - right to buy 5.0624 1988-08-08 1988-08-08 4 A 0 15625 5.0624 A 2001-05-23 2011-05-23 Common Stock 15625 15625 D Non-qualified stock option - right to buy 13.528 1988-08-08 1988-08-08 4 A 0 25000 13.528 A 2002-12-08 2011-12-08 Common Stock 25000 25000 D Non-qualified stock option - right to buy 16.99 1988-08-08 1988-08-08 4 A 0 10000 16.99 A 2002-05-23 2012-05-23 Common Stock 10000 10000 D Non-qualified stock option - right to buy 17.32 1988-08-08 1988-08-08 4 A 0 20000 17.32 A 2004-02-06 2013-02-06 Common Stock 20000 20000 D Non-qualified stock option - right to buy 18.62 2003-05-22 2003-05-22 4 A 0 15000 18.62 A 2003-05-22 2013-05-22 Common Stock 15000 15000 D Become exercisable in equal annual installments of 20% commencing 12/08/02 Become exercisable in equal annual installments of 20% commencing 09/30/99 Become exercisable in equal annual installments of 20% commencing 04/23/00 Become exercisable in equal annual installments of 20% commencing 02/12/02 Become exercisable in equal annual installments of 20% commencing 02/06/04 Kent W. Stanger 2003-07-02 -----END PRIVACY-ENHANCED MESSAGE-----