-----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, B62hD52yw0+1QNp4CpdAQ/qbwI6XwRdmXQWL0qTagF/0hy4PJcx/X4y9Lm7IuOTz EuZS994tTY6MpHbEESX/XQ== 0001179110-05-006805.txt : 20050330 0001179110-05-006805.hdr.sgml : 20050330 20050330134338 ACCESSION NUMBER: 0001179110-05-006805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041218 FILED AS OF DATE: 20050330 DATE AS OF CHANGE: 20050330 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 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: 05713066 BUSINESS ADDRESS: STREET 1: 1600 W. MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0202 4 2004-12-18 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184932 BARNETT GREG L 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Accounting Officer Common Stock, No Par Value 4922 I 401 (k) plan Non-qualified stock options (right to buy) 2.07 2002-02-12 2011-02-12 Common Stock 16668 16668 D Non-qualified stock options (right to buy) 7.61 2002-12-08 2011-12-07 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 2004-12-10 2014-06-10 Common Stock 3000 3000 D Non-qualified stock options (right to buy) 15.03 2004-12-18 4 A 0 10000 15.03 A 2004-12-18 2014-12-18 Common Stock 10000 10000 D Represent plan holdings as of 06/10/04 based upon most recent plan statement timely distributed Becomes exercisable in equal installments of 20% commencing 02/12/02 Becomes exercisable in equal installments of 20% commencing 12/08/02 Becomes exercisable in equal installments of 20% commencing 02/06/04 Becomes exercisable in equal installments of 20% commencing 12/13/04 Greg Barnett 2004-12-18 -----END PRIVACY-ENHANCED MESSAGE-----