-----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, UOco3WiI5uET0NIdC4jMZUKg9LAejmad9Ie5zMBlMDwVMD8D4WDe4YDGAQtTBH0M QX3WyX2ZDQ4fkwJH6klJgA== 0001005477-03-003044.txt : 20030804 0001005477-03-003044.hdr.sgml : 20030804 20030804121331 ACCESSION NUMBER: 0001005477-03-003044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030731 FILED AS OF DATE: 20030804 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: 03819695 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 edgar123.xml FORM 4 X0201 4 2003-07-31 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P C/O MERIT MEDICAL SYSTEMS, INC. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 1 0 Chairman, CEO, President Common Stock, no par value 2003-07-31 2003-07-31 4 M 0 125000 3.76 A 718024 D Common Stock, no par value 2003-07-31 2003-07-31 4 F 0 45692 27.37 D 672332 D Common Stock, no par value 29656 I by 401(k) Plan; holdings a/o 12/31/02 per most recent plan stmt timely distributed Non-qualified Stock Option (right to buy) (5) 3.76 2003-07-31 2003-07-31 4 M 0 125000 3.76 D 1999-05-07 2003-11-07 Common Stock 125000 0 D Non-qualified Stock Option (right to buy) (6) 3.68 1999-09-30 2005-03-31 Common Stock 31250 31250 D Non-qualified Stock Options (right to buy) 3.76 1999-05-26 2004-05-26 Common Stock 11719 11719 D Non-qualified Stock Options (right to buy)l 2.88 2000-05-24 2005-05-24 Common Stock 11719 11719 D Non-qualified Stock Options (right to buy) 2.88 2001-01-24 2005-05-24 Common Stock 62500 62500 D Non-qualified Stock Options (right to buy) (2) 3.68 2002-02-12 2011-02-12 Common Stock 62500 62500 D Non-qualified Stock Options (right to buy) 5.0624 2001-05-23 2011-05-23 Common Stock 15625 15625 D Non-qualified Stock Options (right to buy) (3) 13.5280 2002-12-08 2011-12-08 Common Stock 50000 50000 D Non-qualified Stock Options (right to buy) 16.99 2002-05-23 2012-05-23 Common Stock 10000 10000 D Non-qualified Stock Options (right to buy) (7) 17.32 2004-02-06 2013-02-06 Common Stock 40000 40000 D Non-qualified Stock Options (right to buy) 18.62 2003-05-22 2013-05-22 Common Stock 15000 15000 D (2) Become exercisable in equal annual installments of 20% commencing 02/12/02 (3) Become exercisable in equal annual installments of 20% commencing 12/08/02 (5) Become exercisable in equal annual installments of 20% commencing 05/07/99 (6) Become exercisable in equal annual installments of 20% commencing 09/30/99 (7) Become exercisable in equal annual installments of 20% commencing 02/06/04 Fred P. Lampropoulos 2003-08-01 -----END PRIVACY-ENHANCED MESSAGE-----