-----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, EcwJCbf/xRt+0MglFMZzahDXxxg6/tewlnj7oR8LtUiTbjU3LujlWYiyoDv9MV2O qJvgHsqjdajKizsp2sYdbA== 0000931731-03-000434.txt : 20031126 0000931731-03-000434.hdr.sgml : 20031126 20031126114743 ACCESSION NUMBER: 0000931731-03-000434 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031124 FILED AS OF DATE: 20031126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINTRAUB B LEIGH CENTRAL INDEX KEY: 0001184965 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 031025268 BUSINESS ADDRESS: STREET 1: MERIT MEDICAL SYSTEMS INC STREET 2: 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-blw112503_ex.xml X0201 4 2003-11-24 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184965 WEINTRAUB B LEIGH MERIT MEDICAL SYSTEMS INC 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Vice President - Operations Common Stock, no par value 2003-11-21 2003-11-21 4 M 0 4167 2.76 A 4167 D Common Stock, no par value 2003-11-21 2003-11-21 4 S 0 4167 28.42 D 0 D Common Stock, no par value 2003-11-24 2003-11-24 4 M 0 6666 10.14 A 6666 D Common Stock, no par value 2003-11-24 2003-11-24 4 S 0 6666 29.15 D 1740 D Common Stock, no par value 1988-08-08 1988-08-08 4 A 0 5764 A 5764 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 5137 A 5137 I By 401(k) Plan Non-qualified stock options (right to buy) 10.14 2003-11-24 2003-11-24 4 M 0 6666 10.14 D 2002-12-08 2011-12-08 Common Stock 6666 26667 D Non-qualified stock options (right to buy) 2.76 1988-08-08 1988-08-08 4 M 0 25001 2.76 A 2002-02-12 2011-02-12 Common Stock 25001 25001 D Non-qualified stock options (right to buy) 3.14 1988-08-08 1988-08-08 4 M 0 3647 3.14 A 2000-04-23 2004-10-23 Common Stock 3647 3647 D Non-qualified stock options (right to buy) 2.76 2003-11-21 2003-11-21 4 M 0 4167 2.76 D 1999-09-30 2004-03-31 Common Stock 4167 0 D Non-qualified stock options (right to buy) 12.99 1988-08-08 1988-08-08 4 M 0 26667 12.99 A 2004-02-06 2013-02-06 Common Stock 12.99 26667 D Represent plan holdings as of 8/25/03 based upon most recent plan statement timely distributed. Become exercisable in equal annual installments of 20% commencing 12/08/02 Become exercisable in equal annual installments of 20% commencing 04/23/00 Become exercisable in equal annual installments of 20% commencing 02/12/02 Become exercisable in equal annual installments of 20% commencing 09/30/99 Become exercisable in equal annual installments of 20% commencing 02/06/04 By employee stock purchase plan B. Leigh Weintraub 2003-11-24 -----END PRIVACY-ENHANCED MESSAGE-----