-----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, VvpyvQhxZmZMMx3j1LcSx7k7Z4XmZhb8Eg6RhxF1OgB9cAi97GANKNLpHS1NDjkH gf+VxIVPNg4bcPzNDsiJCQ== 0001179110-04-016751.txt : 20040818 0001179110-04-016751.hdr.sgml : 20040818 20040818180509 ACCESSION NUMBER: 0001179110-04-016751 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040818 FILED AS OF DATE: 20040818 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEAN REX C CENTRAL INDEX KEY: 0001184930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 04984967 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 edgar.xml FORM 4 - X0202 4 2004-08-18 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184930 BEAN REX C 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 16800 D Common Stock, No Par Value 70112 D Common Stock, No Par Value 17777 D Common Stock, No Par Value 2004-08-18 4 S 0 600 16.80 D 180067 D Common Stock, No Par Value 2004-08-18 4 S 0 1064 16.81 D 179003 D Common Stock, No Par Value 2004-08-18 4 S 0 736 16.82 D 178267 D Common Stock, No Par Value 2004-08-18 4 S 0 200 16.84 D 178067 D Common Stock No Par Value 2004-08-18 4 S 0 400 16.86 D 177667 D Common Stock, No Par Value 2004-08-18 4 S 0 300 16.95 D 177367 D Common Stock, No Par Value 2004-08-18 4 S 0 1000 16.96 D 176367 D Common Stock, No Par Value 2004-08-18 4 S 0 1500 16.97 D 174867 D Common Stock, No Par Value 2004-08-18 4 S 0 200 16.98 D 174667 D Common Stock, No Par Value 2004-08-18 4 S 0 2900 17.10 D 171767 D Common Stock, No Par Value 2004-08-18 4 S 0 100 17.11 D 171667 D Common Stock, No Par Value 2004-08-18 4 S 0 1600 17.30 D 170067 D Common Stock, No Par Value 2004-08-18 4 S 0 500 17.31 D 169567 D Common Stock, No Par Value 2004-08-18 4 S 0 900 17.35 D 168667 D non-qualified stock options (right to buy) 1.62 2000-05-24 2005-05-24 Common Stock 20833 20833 D non-qualified stock options (right to buy) 2.85 2001-05-23 2011-05-23 Common Stock 27777 27777 D non-qualified stock options (right to buy) 9.56 2002-05-23 2012-05-23 Common Stock 17777 17777 D non-qualified stock options (right to buy) 10.47 2003-05-22 2013-05-22 Common Stock 26667 26667 D non-qualified stock options (right to buy) 21.67 2003-12-13 2013-12-13 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 13.81 2004-06-10 2014-06-10 Common Stock 15000 15000 D Bean Family Investment LLC Rex Bean Trust (revocable) Rex & Anita Bean Trust Rex C Bean 2004-06-11 -----END PRIVACY-ENHANCED MESSAGE-----