-----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, Db+9QpCNe8OhhgzCkDcCCphJDwH9BrdMoULP7yp7h//MdXP9eUpH4JWXgLJxTb0X nEfEVdi8CBwjbINrM7Gv0w== 0000931731-04-000101.txt : 20040401 0000931731-04-000101.hdr.sgml : 20040401 20040401141015 ACCESSION NUMBER: 0000931731-04-000101 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040331 FILED AS OF DATE: 20040401 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 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: 04708959 BUSINESS ADDRESS: STREET 1: 1600 W MERIT PARKWAY CITY: SO JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 84095-1688 4 1 form4-fpl033104_ex.xml X0201 4 2004-03-31 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 W MERIT PARKWAY SO JORDAN UT 84095 1 1 1 0 President, CEO Common Stock, no par value 2004-03-09 2004-03-09 4 G 0 990 D 840260 D Common Stock, no par value 2004-03-09 2004-03-09 4 G 0 4900 D 835360 D Common Stock, no par value 1988-08-08 1988-08-08 4 G 0 54873 A 54873 I by 401(k) Plan Gift Represents plan holdings as of 2/3/04, per most recent plan statement timely distributed Fred P. Lampropoulos 2004-03-31 -----END PRIVACY-ENHANCED MESSAGE-----