-----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, RWH13po/koHQytUohKjXtHEBo9G/RgbqAtKl5xxyOcJWA1JcH4kvOpe1h1Msdba6 Y7UPd3gzfbNM/0OKKzqoIw== 0000931731-03-000441.txt : 20031201 0000931731-03-000441.hdr.sgml : 20031201 20031201135032 ACCESSION NUMBER: 0000931731-03-000441 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031128 FILED AS OF DATE: 20031201 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: 031029612 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-fpl112803_ex.xml X0201 4 2003-11-28 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 2003-11-28 2003-11-28 4 S 0 2000 31.60 D 662919 D Common Stock, no par value 2003-11-28 2003-11-28 4 S 0 2000 31.8104 D 660919 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 41038 D 41038 I by 401(k) Plan Represent plan holdings as of 8/22/03 per most recent statment timely distributed. Fred P. Lampropoulos 2003-11-28 -----END PRIVACY-ENHANCED MESSAGE-----