-----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, HjNGE8CIh/3gML67Oa73fU7FzT/kfgwocodJrTOb09GgqpVPONVHdb82gmeEkrGJ U1EA6sHvZ5lCFOiaj2a2LA== 0001179110-04-012721.txt : 20040614 0001179110-04-012721.hdr.sgml : 20040611 20040614113925 ACCESSION NUMBER: 0001179110-04-012721 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040610 FILED AS OF DATE: 20040614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERRY RASHELLE CENTRAL INDEX KEY: 0001184963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 04860328 BUSINESS ADDRESS: STREET 1: MERIT MEDICAL SYSTEMS INC STREET 2: 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 edgar.xml FORM 4 - X0202 4 2004-06-10 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184963 PERRY RASHELLE 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Legal Officer Common Stock, No Par Value 618 I 401(k)Plan Non-qualified stock options (right to buy) 4.06 2002-08-06 2011-08-06 Common Stock 16668 16668 D Non-qualified stock options (right to buy) 7.61 2002-12-08 2011-12-08 Common Stock 17779 17779 D Non-qualified stock options (right to buy) 9.74 2004-02-06 2013-02-06 Common Stock 17777 17777 D Non-qualified stock options (right to buy) 21.67 2004-12-13 2013-12-13 Common Stock 7000 7000 D Non-qualified stock options (right to buy) 13.81 2004-06-10 4 A 0 3000 13.81 A 2004-12-10 2014-06-10 Common Stock 3000 3000 D Represent plan holdings as of 06/10/04 based upon most recent plan statement timely distributed Becomes exercisable in equal annual installments of 20% commencing 08/06/02 Becomes exercisable in equal annual installments of 20% commencing 12/08/02 Becomes exercisable in equal annual installments of 20% commencing 02/06/04 Becomes exercisable in equal annual installments of 20% commencing 12/13/04 Rashelle Perry 2004-06-11 -----END PRIVACY-ENHANCED MESSAGE-----