-----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, Qpj6NZEXICVzIItiRB5fpqkqwuCis0R7HSupzVzG6oxOezKid644vZMMoOui0TE6 1W0UEtZuAR0VFrcyAm0rXg== 0000931731-03-000387.txt : 20031031 0000931731-03-000387.hdr.sgml : 20031031 20031031095010 ACCESSION NUMBER: 0000931731-03-000387 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031029 FILED AS OF DATE: 20031031 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: 03968443 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-fpl102903_ex.xml X0201 4 2003-10-29 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 W MARIT PARKWAY SO JORDAN UT 84095 1 1 1 0 President, CEO Common Stock, no par value 2003-10-29 2003-10-29 4 S 0 700 26.75 D 767316 D Common Stock, no par value 2003-10-29 2003-10-29 4 S 0 300 26.751 D 767016 D Common Stock, no par value 2003-10-29 2003-10-29 4 S 0 300 26.75 D 766716 D Common Stock, no par value 2003-10-29 2003-10-29 4 S 0 2790 26.60 D 763926 D Common Stock, no par value 2003-10-29 2003-10-29 4 S 0 910 26.54 D 763016 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 41038 A 41038 I by 401(k) Plan Represent plan holdings as of 8/22/03 per most recent plan statement timely distributed. Fred P. Lampropoulos 2003-10-29 -----END PRIVACY-ENHANCED MESSAGE-----