-----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, DOkS/0MeYG84od5mXuVI2BH/Jn64EwAtjAIwcoTzStvw4ntg3owcLNCxUWZ6qCeU RwcXzPifc2pxyz8U/1cImw== 0000931731-04-000083.txt : 20040322 0000931731-04-000083.hdr.sgml : 20040322 20040322171518 ACCESSION NUMBER: 0000931731-04-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040322 FILED AS OF DATE: 20040322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EDELMAN RICHARD W CENTRAL INDEX KEY: 0001184931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 04683092 BUSINESS ADDRESS: STREET 1: 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 1 form4-rwedelman032204_ex.xml X0201 4 2004-03-22 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184931 EDELMAN RICHARD W 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, no par value 2004-03-18 2004-03-18 4 M 0 100 9.56 A 100 D Common Stock, no par value 2004-03-18 2004-03-18 4 S 0 100 22.08 D 0 D Common Stock, no par value 2004-03-19 2004-03-19 4 M 0 1500 9.56 A 1000 D Common Stock, no par value 2004-03-19 2004-03-19 4 S 0 1500 21.75 D 0 D Nonqualified Stock Option (right to buy) 9.56 2004-03-18 2004-03-18 4 M 0 100 9.56 D 2002-05-23 2012-05-23 Common Stock 100 8509 D Nonqualified Stock Option (right to buy) 9.56 2004-03-19 2004-03-19 4 M 0 1500 9.56 D 2002-05-23 2012-05-23 Common Stock 1500 7009 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 1988-08-08 1988-08-08 4 M 0 15000 21.67 A 2003-05-22 2013-05-22 Common Stock 15000 15000 D Richard W. Edelman by Greg Barnett, Atty-in-Fact, per Pwr of Atty dtd 09/14/2002, a manually signed copy of which is on file with the SEC and is incorporated herein by reference 2004-03-22 -----END PRIVACY-ENHANCED MESSAGE-----