-----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, OTpu7C+GSf4PwZlgzfa61m2qTOcRFlTz6+n7zO0tLTToixHJjepCZDSlNJNydG4i kH+s8FzQrDCuh0qjfgePDQ== 0001179110-04-011528.txt : 20040526 0001179110-04-011528.hdr.sgml : 20040526 20040526125147 ACCESSION NUMBER: 0001179110-04-011528 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040525 FILED AS OF DATE: 20040526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 04831743 BUSINESS ADDRESS: STREET 1: 79 WEST 4500 SOUTH STREET 2: SUITE 9 CITY: SALT LAKE CITY STATE: UT ZIP: 84107 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 edgar.xml FORM 4 - X0202 4 2004-05-25 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Financial Officer Common Stock, no par value 2004-05-25 4 M 0 7500 2.12 A 372576 D Common stock, no par value 2004-05-25 4 F 1 2770 14.82 D 369806 D Common Stock, no par value 148041 I Family limited partnership Common stock, no par value 48018 I 401(k)plan common stock, no par value 3416 D Nonqualified stock options (right to buy) 2.12 2004-05-25 4 M 0 7500 2.12 D 1999-05-26 2004-05-26 Common stock 7500 0 D Nonqualified stock options (right to buy) 2.36 2000-04-23 2004-10-23 Common Stock 24308 24308 D Nonqualified stock options (right to buy) 1.62 2000-05-24 2005-05-24 Common Stock 208333 20833 D Nonqualified stock options 1.62 2001-01-24 2005-05-24 Common Stock 55556 55556 D Nonqualified stock options (right to buy) 2.07 2002-02-12 2011-02-12 Common Stock 55556 55556 D Nonqualified stock options (right to buy) 2.85 2001-05-23 2011-05-23 Common Stock 27777 27777 D Nonqualified stock options (right to buy) 7.61 2002-12-08 2011-12-08 Common Stock 44444 44444 D Nonqualified stock options (right to buy) 9.56 2002-05-23 2012-05-23 Common Stock 17777 17777 D Nonqualified stock optons (right to buy) 9.74 2004-02-06 2013-02-06 Common Stock 35556 35556 D Nonqualified stock optons (right to buy) 10.47 2003-05-22 2013-05-22 Common Stock 26667 26667 D Nonqualified stock options (right to buy) 21.67 2003-12-13 2013-12-13 Common Stock 15000 15000 D Nonqualified stock optons (right to buy) 21.67 2004-12-13 2013-12-13 Common Stock 14000 14000 D (employee stock purchase plan) Become exercisable in equal annual installments of 20% commencing 12/13/04 Become exercisable in equal annual installments of 20% commencing 12/08/02 Become exercisable in equal annual installments of 20% commencing 04/23/00 Become exercisable in equall annual installments of 20% commencing 02/12/02 Become exercisable in equall annual installments of 20% commencing 02/06/04 Represent plan holdings as of 21/03/04 Kent Stanger 2004-05-26 -----END PRIVACY-ENHANCED MESSAGE-----