-----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, L/6cB2teWnf+tdPPhhqoqCdUBjQDw/J3lx4ViZFXaYc1iO+u8skNKwco45mS8q+Q z8KdRg+IKdSav/2A+1ZkRA== 0000931731-03-000445.txt : 20031203 0000931731-03-000445.hdr.sgml : 20031203 20031203110852 ACCESSION NUMBER: 0000931731-03-000445 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031202 FILED AS OF DATE: 20031203 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: 031034310 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-fpl120203_ex.xml X0201 4 2003-12-02 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 2003-12-01 2003-12-01 4 G 0 1677 D 659242 D Common Stock, no par value 2003-12-01 2003-12-01 4 G 0 1710 D 657532 D Common Stock, no par value 2003-12-01 2003-12-01 4 G 0 1613 D 655919 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 41038 A 41038 I by 401(k) Plan Represent plan holdings as of 8/22/03 per most recent plan statement timely distributed. Gift Fred P. Lampropoulos 2003-12-02 -----END PRIVACY-ENHANCED MESSAGE-----