-----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, M9sGv8jKI2nGQjKJkdGtDjnPxBfdj8KyapAkL1xzWBjWT3m3RBkzez6ASJcEZmSI DYgEBmNKsy/i3zsfAJemfQ== 0000931731-03-000428.txt : 20031120 0000931731-03-000428.hdr.sgml : 20031120 20031120140834 ACCESSION NUMBER: 0000931731-03-000428 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031018 FILED AS OF DATE: 20031120 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: 031015232 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-fpl111803_ex.xml X0201 4 2003-10-18 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 2003-11-18 2003-11-18 4 S 0 2000 28.3885 D 709408 D Common Stock, no par value 2003-11-18 2003-11-18 4 S 0 2000 28.25 D 707408 D Common Stock, no par value 2003-11-18 2003-11-18 4 S 0 1835 28.3501 D 705573 D Common Stock, no par value 2003-11-18 2003-11-18 4 S 0 1275 D 704298 D Common Stock, no par value 2003-11-18 2003-11-18 4 S 0 950 D 703348 D Common Stock, no par value 1988-08-08 1988-08-08 4 S 0 41038 D 41038 I by 401(k) Plan (1) Gift Represent plan holdings as of 8/22/2003 based upon most recent plan statement timely distributed. Fred P. Lampropoulos 2003-11-18 -----END PRIVACY-ENHANCED MESSAGE-----