-----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, Qi9u5Y55Zi03f74HGF7+P9VTNM9PxNaIuwxLHMsAOKzeiTwMYYHT5yQfxffrVjsz SMvdlrgyjEfK0j/fGrRmcQ== 0001005477-03-003332.txt : 20030807 0001005477-03-003332.hdr.sgml : 20030807 20030807172326 ACCESSION NUMBER: 0001005477-03-003332 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030806 FILED AS OF DATE: 20030807 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: 03829492 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 2003-08-06 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184931 EDELMAN RICHARD W C/O MERIT MEDICAL SYSTEMS, INC. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, no par value 2003-08-06 2003-08-06 4 M 0 2000 2.88 A 2000 D Common Stock, no par value 2003-08-06 2003-08-06 4 M 0 2000 25.93 D 0 D Nonqualified stock options (right to buy) 2.88 2003-08-06 2003-08-06 4 M 0 2000 2.88 D 2000-05-24 2005-05-24 Common Stock 2000 0 D Nonqualified stock options (right to buy) 16.99 2002-05-23 2012-05-23 Common Stock 10000 10000 D Nonqualified stock options (right to buy) 18.62 2003-05-22 2013-05-21 Common Stock 15000 15000 D Richard W. Edelman by Greg Barnett, Atty in Fact, per Pwr of Atty dtd 9/14/03 on file w/SEC and incorporated herein by reference 2003-07-06 -----END PRIVACY-ENHANCED MESSAGE-----