-----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, N6cxe6+zi0GUn+i1Gq+x5v4Ap7CFPL0mQpGDIRmzRMsB1TIgFsarExXQLYqxBia2 xPQYLHjEenv4C9bxyeDmUw== 0000931731-03-000400.txt : 20031110 0000931731-03-000400.hdr.sgml : 20031110 20031110150734 ACCESSION NUMBER: 0000931731-03-000400 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031107 FILED AS OF DATE: 20031110 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: 03988079 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-rwedelman110703_ex.xml X0201 4 2003-11-07 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 2003-11-06 2003-11-06 4 M 0 1035 12.74 A 1035 D Common Stock, no par value 2003-11-06 2003-11-06 4 S 0 1035 27.10 D 1035 D Common Stock, no par value 2003-11-07 2003-11-07 4 M 0 65 12.74 A 65 D Common Stock, no par value 2003-11-07 2003-11-07 4 S 0 65 27.11 D 65 D Non-qualified stock option (right to buy) 12.74 2003-11-06 2003-11-06 4 M 0 8398 12.74 D 2002-05-23 2012-05-23 Common Stock 8398 8398 D Non-qualified stock option (right to buy) 12.74 2003-11-06 2003-11-06 4 M 0 8333 12.74 D 2002-05-23 2012-05-23 Common Stock 8333 8333 D Non-qualified stock option (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 Richard W. Edelman by Greg Barnett as Atty-in-Fact per Pwr of Atty dtd 9/14/2002, a manually signed copy of which is on file wi 2003-11-10 -----END PRIVACY-ENHANCED MESSAGE-----