-----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, LTWnJC+U1s5WARntV17/4zuj24WproRujHQZtFmN7V9VXhb4t+3GjoRnT6WFyQuU zrNM2verzPwBRFwqgNrrtQ== 0000931731-03-000397.txt : 20031107 0000931731-03-000397.hdr.sgml : 20031107 20031107123007 ACCESSION NUMBER: 0000931731-03-000397 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031106 FILED AS OF DATE: 20031107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EDELMAN RICHARD W CENTRAL INDEX KEY: 0001184931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 03984285 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-rwedelman110603_ex.xml X0201 4 2003-11-06 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184931 EDELMAN RICHARD W 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, no par value 2003-11-05 2003-11-05 4 M 0 1400 12.74 A 1400 D Common Stock, no par value 2003-11-05 2003-11-05 4 M 0 1400 26.9642 D 0 D Non-qualified Stock Options (right to buy) 12.74 2003-11-05 2003-11-05 4 M 0 1400 12.74 D 2002-05-23 2012-05-23 Common Stock 1400 9433 D Non-qualified Stock Options (right to buy) 13.97 1988-08-08 1988-08-08 4 M 0 20000 13.97 A 2003-05-22 2013-05-22 Common Stock 20000 20000 D RWEdelman by Greg Barnett as Atty-in-Fact per Pwr of Atty dtd 9/14/2002, a manually signed copy of which is on file with the Co 2003-11-06 -----END PRIVACY-ENHANCED MESSAGE-----