-----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, R/pjc9ROS08/tqXh+a7W4PHiLiDxQgh/8NtkkQWw+sf9U/DktNAzj03i2c2G5XJ8 5Q347hMau6r24/1UAxHicw== 0000931731-03-000220.txt : 20030702 0000931731-03-000220.hdr.sgml : 20030702 20030702171531 ACCESSION NUMBER: 0000931731-03-000220 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: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 03772849 BUSINESS ADDRESS: STREET 1: 1600 W MARIT PARKWAY CITY: SO JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 84095-1688 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-fpl063003_ex.xml X0101 4 2003-06-30 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1 1 1 0 Chairman, President, CEO Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 593024 11860480 A 593024 D Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 29656 593120 A 29656 I by 401(k) Plan; represents plan holdings a/o 12/31/2002 based on latest plan stmt timely distributed Non-qualified stock options - right to buy 3.76 1988-08-08 1988-08-08 4 A 0 125000 3.76 A 1999-05-07 2003-11-07 Common Stock 125000 125000 D Non-qualified stock options - right to buy 3.68 1988-08-08 1988-08-08 4 A 0 31250 3.68 A 1999-09-30 2004-03-31 Common Stock 31250 31250 D Non-qualified stock options - right to buy 3.76 1988-08-08 1988-08-08 4 A 0 11719 3.76 A 1999-05-26 2004-05-26 Common Stock 11719 11719 D Non-qualified stock options - 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 options - right to buy 2.88 1988-08-08 1988-08-08 4 A 0 62500 2.88 A 2001-01-24 2005-05-24 Common Stock 62500 62500 D Non-qualified stock options - right to buy 3.68 1988-08-08 1988-08-08 4 A 0 62500 3.68 A 2002-02-12 2011-02-12 Common Stock 62500 62500 D Non-qualified stock options - 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 options - right to buy 13.528 1988-08-08 1988-08-08 4 A 0 50000 13.528 A 2002-12-08 2011-12-08 Common Stock 50000 50000 D Non-qualified stock options - 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 options - right to buy 17.32 1988-08-08 1988-08-08 4 A 0 40000 17.32 A 2004-02-06 2013-02-06 Common Stock 40000 40000 D Non-qualified stock options - 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 02/12/02 Become exercisable in equal annual installments of 20% commencing 12/08/02 Become exercisable in equal annual installments of 20% commencing 05/07/99 Become exercisable in equal annual installments of 20% commencing 09/30/99 Become exercisable in equal annual installments of 20% commencing 02/06/04 Fred P. Lampropoulos 2003-07-02 -----END PRIVACY-ENHANCED MESSAGE-----