-----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, U1HBK6c4Vrld493B/HwZZJbM4GUjt43RytxNfmJAnvcuYZBUgYIPYZXvJZ29IvbA XgiKUFNgRxu23XndZQ6UOA== 0000931731-03-000309.txt : 20030905 0000931731-03-000309.hdr.sgml : 20030905 20030905102510 ACCESSION NUMBER: 0000931731-03-000309 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030904 FILED AS OF DATE: 20030905 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FERRAND BRIAN L CENTRAL INDEX KEY: 0001184964 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 03882789 BUSINESS ADDRESS: STREET 1: MERIT MEDICAL SYSTEMS INC STREET 2: 1600 W. MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 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-bferrand090403_ex.xml X0201 4 2003-09-04 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184964 FERRAND BRIAN L MERIT MEDICAL SYSTEMS INC 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Director of Sales Common Stock, no par value 2003-09-03 2003-09-03 4 M 0 3830 2.76 A 3830 D Common Stock, no par value 2003-09-03 2003-09-03 4 S 0 3830 21.70 D 0 D Common Stock, no par value 1988-08-08 4 M 0 15174 A 15174 I by 401(k) Plan Employee stock option (right to buy) 2.76 1988-08-08 1988-08-08 4 M 0 4167 2.76 A 1999-09-30 2004-09-30 Common Stock 4167 4167 D Employee stock option (right to buy) 2.76 2003-09-03 2003-09-03 4 M 0 3830 2.76 A 2002-02-12 2011-02-12 Common Stock 3830 18751 D Employee stock option (right to buy) 10.15 1988-08-08 1988-08-08 4 M 0 25000 10.15 A 2002-12-08 2011-12-08 Common Stock 25000 25000 D Employee stock option (right to buy) 12.74 1988-08-08 1988-08-08 4 M 0 13333 12.74 A 2003-05-23 2012-05-23 Common Stock 13333 13333 D Employee stock option (right to buy) 12.99 1988-08-08 1988-08-08 4 M 0 26667 12.99 A 2004-02-06 2013-02-06 Common Stock 26667 26667 D Represents plan holdings as of 09/04/03 per most recent plan statement timely distributed 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 05/23/03 Become exercisable in equal annual installments of 20% commencing 02/06/04 Become exercisable in equal annual installments of 20% commencing 09/30/99 End of month number reflects forward split (4 for 3) effective 8/15/03. B. Leigh Weintraub by Kent W. Stanger, Atty-in-Fact per Pwr of Atty dtd 08/10/92 on file w/the Commission and incorporated here 2003-09-05 -----END PRIVACY-ENHANCED MESSAGE-----