-----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, OtpzHIvLEOyN4vQ7sd32ujH3KT4GKh3YSX8EdjArq+JuQ6di6UcABDGZ85T/9WW2 og+FCnBQwXigb2dtqTbDQA== 0000931731-03-000405.txt : 20031112 0000931731-03-000405.hdr.sgml : 20031112 20031112183600 ACCESSION NUMBER: 0000931731-03-000405 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031112 FILED AS OF DATE: 20031112 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: 03995336 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-fpl111203_ex.xml X0201 4 2003-11-12 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 2003-11-12 2003-11-12 4 S 0 1342 27.09 D 728731 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 2000 27.15 D 726731 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 2000 27.38 D 724731 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 1658 27.0518 D 723073 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 400 27.29 D 722673 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 200 27.27 D 722473 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 100 27.22 D 722373 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 800 27.19 D 721573 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 217 27.43 D 721356 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 848 27.41 D 720508 D Common Stock, no par value 2003-11-12 2003-11-12 4 S 0 1000 27.20 D 719508 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 41038 D 41038 I by 401(k) Plan Represents plan holdings as of 8/22/2003 per most recent plan statement timely distributed. Fred P. Lampropoulos 2003-11-12 -----END PRIVACY-ENHANCED MESSAGE-----