-----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, HQf73QQAD9Yr7tnf79xoUNC8a/NXeqgE6S1nTgGaX2szxnD2jAxzCyTt7IgsQmu9 ry74iExlT2nhbgNXMgxYLw== 0000931731-03-000396.txt : 20031106 0000931731-03-000396.hdr.sgml : 20031106 20031106121629 ACCESSION NUMBER: 0000931731-03-000396 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031105 FILED AS OF DATE: 20031106 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: 03981513 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-fpl110503_ex.xml X0201 4 2003-11-05 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 2003-11-05 2003-11-05 4 S 0 1000 26.75 D 753016 D Common Stock, no par value 2003-11-05 2003-11-05 4 S 0 1500 26.85 D 751516 D Common Stock, no par value 2003-11-05 2003-11-05 4 S 0 925 27.03 D 750591 D Common Stock, no par value 2003-11-05 2003-11-05 4 S 0 1600 26.98 D 748991 D Common Stock, no par value 2003-11-05 2003-11-05 4 S 0 475 26.87 D 748516 D Common Stock, no par value 2003-11-05 2003-11-05 4 S 0 500 26.97 D 748016 D Common Stock, no par value 2003-11-05 2003-11-05 4 S 0 2000 26.80 D 746016 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 2003-11-04 -----END PRIVACY-ENHANCED MESSAGE-----