-----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, PNkKZ1+ujJ14k7txl3quyLn4no/oZdZI3/Tgxq1hmHXshl5fXMqbQnYkSulOqitu HHkeNNI/5vTpjnima2wOIg== 0000931731-03-000439.txt : 20031128 0000931731-03-000439.hdr.sgml : 20031127 20031128110632 ACCESSION NUMBER: 0000931731-03-000439 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031126 FILED AS OF DATE: 20031128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 031028108 BUSINESS ADDRESS: STREET 1: 79 WEST 4500 SOUTH STREET 2: SUITE 9 CITY: SALT LAKE CITY STATE: UT ZIP: 84107 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-kws112603_ex.xml FORM 4 KWS 112603 X0201 4 2003-11-26 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 79 WEST 4500 SOUTH SUITE 9 SALT LAKE CITY UT 84107 1 1 0 0 Chief Financial Officer Common Stock, no par value 2003-11-24 2003-11-24 4 M 0 973 2.16 A 973 D Common Stock, no par value 2003-11-24 2003-11-24 4 S 0 973 29.50 D 0 D Common Stock, no par value 2003-11-25 2003-11-25 4 M 0 4027 2.16 A 4027 D Common Stock, no par value 2003-11-25 2003-11-25 4 S 0 4027 29.50 D 0 D Common Stock, no par value 2003-11-26 2003-11-26 4 M 0 5000 2.16 A 5000 D Common Stock, no par value 2003-11-26 2003-11-26 4 S 0 5000 30.50 D 0 D Common Stock, no par value 2003-11-26 2003-11-26 4 S 0 10 24.21 D 300554 D Common Stock, no par value 2003-11-26 2003-11-26 4 S 0 126 26.10 D 300428 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 111031 A 111031 I Family limited partnership Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 35989 A 35989 I 401(k) plan Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 2562 A 2562 D Non-qualified Stock Option (right to buy) 2.82 2003-11-24 2003-11-24 4 M 0 973 2.82 D 1999-05-26 2004-05-26 Common stock 973 14652 D Non-qualified Stock Option (right to buy) 2.82 2003-11-24 2003-11-24 4 M 0 4027 2.82 D 1999-05-26 2004-05-26 Common stock 4027 10625 D Non-qualified Stock Option (right to buy) 2.82 2003-11-24 2003-11-24 4 M 0 5000 2.82 D 1999-05-26 2004-05-26 Common stock 5000 5625 D Non-qualified Stock Option (right to buy) 3.15 1988-08-08 1988-08-08 4 M 0 18231 3.15 A 2000-04-23 2004-10-23 Common stock 18231 18231 D Non-qualified Stock Option (right to buy) 2.16 1988-08-08 1988-08-08 4 M 0 15625 2.16 A 2000-05-24 2005-05-24 Common stock 15625 15625 D Non-qualified Stock Option (right to buy) 2.16 1988-08-08 1988-08-08 4 M 0 41667 2.16 A 2001-01-24 2005-05-24 Common stock 41667 41667 D Non-qualified Stock Option (right to buy) 2.76 1988-08-08 1988-08-08 4 M 0 41667 2.76 A 2002-02-12 2011-02-12 Common stock 41667 41667 D Non-qualified Stock Option (right to buy) 3.80 1988-08-08 1988-08-08 4 M 0 20833 3.80 A 2002-02-12 2011-02-12 Common stock 20833 20833 D Non-qualified Stock Option (right to buy) 10.15 1988-08-08 1988-08-08 4 M 0 33333 10.15 A 2002-12-08 2011-12-08 Common stock 33333 33333 D Non-qualified Stock Option (right to buy) 12.74 1988-08-08 1988-08-08 4 M 0 13333 12.74 A 2002-05-23 2012-05-23 Common stock 13333 13333 D Non-qualified Stock Option (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 26667 26667 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 Represent plan holdings as of 10/28/03 Employee stock purchase plan 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 02/06/04 Kent W. Stanger 2003-11-26 -----END PRIVACY-ENHANCED MESSAGE-----