-----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, LRU8tSkUfN7VMrApgnut3BR3/T4/MkYnC8RfL3bSi5NUPatqUj2a8lW6ptxj3+u1 KjnYqgMDqkfaUQWV8QIguw== 0000931731-03-000442.txt : 20031202 0000931731-03-000442.hdr.sgml : 20031202 20031202170841 ACCESSION NUMBER: 0000931731-03-000442 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000307 FILED AS OF DATE: 20031202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEINTRAUB B LEIGH CENTRAL INDEX KEY: 0001184965 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 031033272 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/A 1 form4a-blw032000_ex.xml X0201 4/A 2000-03-07 2000-04-14 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 2000-03-07 2000-03-07 4 M 0 700 5.8125 A 9300 D Common Stock, no par value 2000-03-07 2000-03-07 4 F 0 566 8.6875 D 8734 D Common Stock, no par value 2000-03-08 2000-03-08 4 M 0 3300 5.8125 A 5434 D Common Stock, no par value 2000-03-08 2000-03-08 4 F 0 2599 9.1875 D 2835 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 1057 A 1057 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 1223 A 1223 I by 401(k) plan Non-qualified stock options (right to buy) 6.562 1988-08-08 1988-08-08 4 M 0 8750 6.562 A 2000-04-23 2004-10-23 Common Stock 8750 8750 D Non-qualified stock options (right to buy) 5.75 1988-08-08 1988-08-08 4 M 0 10000 5.75 A 1999-09-30 2004-03-31 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 5.8125 1988-08-08 1988-08-08 4 M 0 10000 5.8125 A 1998-06-18 2002-12-18 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 5.8125 2000-03-07 2000-03-07 4 M 0 700 5.8125 D 1998-06-18 2002-12-18 Common Stock 700 9300 D Non-qualified stock options (right to buy) 5.8125 2000-03-08 2000-03-08 4 M 0 3300 5.8125 D 1998-06-18 2002-12-18 Common Stock 3300 6000 D Non-qualified stock options (right to buy) 7.50 1998-08-08 1998-08-08 4 M 0 25000 7.50 A 1997-05-08 2001-11-08 Common Stock 25000 25000 D Represent plan holdings as of 12/31/99 per most recent plan statement timely distributed. Purchase of 1,223 shares from Employee Stock Purchase Plan. Become exercisable in equal annual installments of 20 % commencing 05/08/97 Become exercisable in equal annual installments of 20 % commencing 06/18/98 Become exercisable in equal annual installments of 20 % commencing 09/30/99 Become exercisable in equal annual installments of 20 % commencing 04/23/00 Options are exercisable by paying 3,165 shares of Company Stock Number of shares incorrectly reported previoiusly. Does not reflect stock splits which occurred on the following dates: 5 for 4 forward stock split effective 8/27/01 5 for 4 forward stock split effective 4/12/02 4 for 3 forward stock split effective 8/11/03 By employee stock purchase B. Leigh Weintraub 2003-12-02 -----END PRIVACY-ENHANCED MESSAGE-----