-----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, LHtL/Nt5SSfBTWg5Gdq08m7LzfQHyQTeGhnHAX0tJK9W8hhAtCuIyEL7dX1WmVJh Nu/7Mu4jQEHWpoRA4QcGHA== 0000931731-04-000024.txt : 20040205 0000931731-04-000024.hdr.sgml : 20040205 20040205122501 ACCESSION NUMBER: 0000931731-04-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040204 FILED AS OF DATE: 20040205 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: 04569212 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-kws020404_ex.xml X0201 4 2004-02-04 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 1988-08-08 1988-08-08 4 M 0 365076 A 365076 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 48018 A 48018 I by 401(k) Plan Common Stock, no par value 1988-08-08 1988-08-08 4 M 0 3416 A 3416 D Nonqualified Stock Option (right to buy) 2.12 1988-08-08 1988-08-08 4 M 0 7500 2.12 A 1999-05-26 2004-05-26 Common Stock 7500 7500 D Nonqualified Stock Option (right to buy) 2.36 1988-08-08 1988-08-08 4 M 0 24308 2.36 A 2000-04-25 2004-10-23 Common Stock 24308 24308 D Nonqualified Stock Option (right to buy) 1.62 1988-08-08 1988-08-08 4 M 0 20833 1.62 A 2000-05-24 2005-05-24 Common Stock 20833 20833 D Nonqualified Stock Option (right to buy) 1.62 1988-08-08 1988-08-08 4 M 0 55556 1.62 A 2001-01-24 2005-05-24 Common Stock 55556 55556 D Nonqualified Stock Option (right to buy) 2.07 1988-08-08 1988-08-08 4 M 0 55556 2.07 A 2002-02-12 2011-02-12 Common Stock 55556 55556 D Nonqualified Stock Option (right to buy) 2.85 1988-08-08 1988-08-08 4 M 0 27777 2.85 A 2001-05-23 2011-05-23 Common Stock 27777 27777 D Nonqualified Stock Option (right to buy) 7.61 1988-08-08 1988-08-08 4 M 0 44444 7.61 A 2002-12-08 2011-12-08 Common Stock 44444 44444 D Nonqualified Stock Option (right to buy) 9.56 1988-08-08 1988-08-08 4 M 0 17777 9.56 A 2002-05-23 2012-05-23 Common Stock 17777 17777 D Nonqualified Stock Option (right to buy) 9.74 1988-08-08 1988-08-08 4 M 0 35556 9.74 A 2004-02-06 2013-02-06 Common Stock 35556 35556 D Nonqualified Stock Option (right to buy) 10.47 1988-08-08 1988-08-08 4 M 0 26667 10.47 A 2003-05-22 2013-05-22 Common Stock 26667 26667 D Nonqualified Stock Option (right to buy) 21.67 2003-12-13 2003-12-13 4 A 0 15000 21.67 A 2003-12-13 2013-12-13 Common Stock 15000 15000 D Nonqualified Stock Option (right to buy) 21.67 2003-12-13 2003-12-13 4 A 0 14000 21.67 A 2004-12-13 2013-12-13 Common Stock 14000 14000 D Represent plan holdings as of 02/03/04 Become exercisable in equal installments of 20% as of 12/13/04 Become exercisable in equal installments of 20% as of 12/08/02 Become exercisable in equal installments of 20% as of 04/23/00 Become exercisable in equal installments of 20% as of 02/12/02 Become exercisable in equal installments of 20% as of 02/06/04 per employee stock purchases per family limited partnership per 401(k) Plan by Employee Stock Purchase Plan Kent W. Stanger 2003-02-05 -----END PRIVACY-ENHANCED MESSAGE-----