-----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, U23fKrolmrvTAPAvei256BxsjL/KEpY2iAqTLp37jWqqOAvCcZyu9VdcvUEAnBCF 4ptejlpTZgitIx2vrAWhFw== 0001005477-03-003268.txt : 20030806 0001005477-03-003268.hdr.sgml : 20030806 20030806180052 ACCESSION NUMBER: 0001005477-03-003268 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030804 FILED AS OF DATE: 20030806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARNETT GREG L CENTRAL INDEX KEY: 0001184932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 03827300 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 edgar123.xml FORM 4 X0201 4 2003-08-04 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184932 BARNETT GREG L C/O MERIT MEDICAL SYSTEMS, INC. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 0 0 0 1 Controller Common Stock, no par value 2003-08-04 2003-08-04 4 M 0 304 3.68 A 2991 D Common Stock, no par value(1) 2003-08-04 2003-08-04 4 S 0 304 27.50 D 2685 D Non-qualified stock options (right to buy) 3.68 2003-09-30 2004-03-31 Common Stock 3125 3125 D Non-qualified stock options (right to buy) 3.68 2003-08-04 2003-08-04 4 M 0 304 3.68 A 2002-02-12 2011-02-12 Common Stock 304 12196 D Non-qualified stock options (right to buy) 13.528 2002-12-07 2011-12-07 Common Stock 12500 12500 D Non-qualified stock options (right to buy) 17.32 2004-02-06 2013-02-06 Common Stock 10000 10000 D (1) Nature of beneficial ownership: by 401(k) Plan a/o 12/31/02 per recent plan statement timely distributed (2) Becomes exercisable in equal installments of 20% commencing 02/12/02 (3) Becomes exercisable in equal installments of 20% commencing 12/07/02 (4) Becomes exercisable in equal installments of 20% commencing 02/06/04 Greg Barnett 2003-08-06 -----END PRIVACY-ENHANCED MESSAGE-----