-----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, DMnHzOfI4eq92jT41l4WjKRlpB8jhw235GwRaVdXDwCon4QZ+NHfHiZlDfsNkjjw Pf8s+DHcdbk02xir36ymuQ== 0000931731-03-000478.txt : 20031231 0000931731-03-000478.hdr.sgml : 20031231 20031231135328 ACCESSION NUMBER: 0000931731-03-000478 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031223 FILED AS OF DATE: 20031231 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: 031080115 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-kws122903_ex.xml X0201 4 2003-12-23 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 2003-12-23 2003-12-23 4 G 0 5000 D 370576 D Common Stock, no par value 2003-12-23 2003-12-23 4 G 0 100 D 370476 D Common Stock, no par value 2003-12-23 2003-12-23 4 G 0 100 D 370376 D Common Stock, no par value 2003-12-23 2003-12-23 4 G 0 100 D 370276 D Common Stock, no par value 2003-12-23 2003-12-23 4 G 0 100 D 370176 D Common Stock, no par value 2003-12-23 2003-12-23 4 G 0 100 D 370076 D Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 148041 A 148041 I Family limited partnership Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 47985 A 47985 I 401(k) Plan Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 3416 A 3416 D Represents holdings as of 10/28/03 per most recent statement timely distributed. Gift Family limited partnership Employee stock purchase plan. Kent W. Stanger 2003-12-29 -----END PRIVACY-ENHANCED MESSAGE-----