-----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, LN6R4vBs9BUHjUao7xZy6F0iRQqu8YrpyXMM0X2RxQH2kzq6HxkRHpt4dW4eJZRz LQ0YDtOq8dUkwCyiG9izUg== 0000931731-03-000373.txt : 20031029 0000931731-03-000373.hdr.sgml : 20031029 20031029111241 ACCESSION NUMBER: 0000931731-03-000373 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031027 FILED AS OF DATE: 20031029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARNETT GREG L CENTRAL INDEX KEY: 0001184932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 03962548 BUSINESS ADDRESS: STREET 1: 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-gbarnett102803_ex.xml X0201 4 2003-10-27 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184932 BARNETT GREG L 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 0 0 1 Controller Common Stock, no par value 2003-10-27 2003-10-27 4 M 0 4167 2.76 A 4167 D Common Stock, no par value 2003-10-27 2003-10-27 4 S 0 4167 25.0058 A 0 D Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 3692 A 3692 I by 401(k) Plan Non-qualified stock options (right to buy) 2.76 2003-10-27 2003-10-27 4 M 0 4167 2.76 D 2003-09-30 2004-03-31 Common Stock 4167 0 D Non-qualified stock options (right to buy) 2.76 1988-08-08 1988-08-08 4 M 0 12501 2.76 D 2002-02-12 2011-02-12 Common Stock 12501 12501 D Non-qualified stock options (right to buy) 10.14 1988-08-08 1988-08-08 4 M 0 16667 10.14 D 2002-12-07 2011-12-07 Common Stock 16667 16667 D Non-qualified stock options (right to buy) 12.99 1988-08-08 1988-08-08 4 M 0 13334 12.99 D 2004-02-06 2012-02-06 Common Stock 13334 13334 D Represents plan holdings as of 12/31/02 based upon most recent plan statement timely distributed. Becomes exercisable in equal installments of 20% commencing 02/12/02 Becomes exercisable in equal installments of 20% commencing 12/07/02 Becomes exercisable in equal installments of 20% commencing 03/06/04 Greg Barnett 2003-10-28 -----END PRIVACY-ENHANCED MESSAGE-----