-----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, OOyW6ZJC+X0RFQwfMijkvC1eI1nYCS6LT/DF2KwyfqIoIP7a7yPcurSkAIoXxuEj mI3VOeBoJMIkjRmVU4KGjg== 0001179110-05-007473.txt : 20050408 0001179110-05-007473.hdr.sgml : 20050408 20050408112744 ACCESSION NUMBER: 0001179110-05-007473 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050408 DATE AS OF CHANGE: 20050408 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: WEINTRAUB B LEIGH CENTRAL INDEX KEY: 0001184965 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 05740663 BUSINESS ADDRESS: STREET 1: MERIT MEDICAL SYSTEMS INC STREET 2: 1600 W. MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0202 4 2004-12-31 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184965 WEINTRAUB B LEIGH 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 COO Common stock, no par value 1392 D Common stock, no par value 1261 D Common stock, no par value 6804 I by 401(k) plan Non-qualified stock options (right to buy) 7.61 2002-12-08 2011-12-08 Common Stock 32556 35556 D non-qualified stock options (right to buy) 2.07 2004-08-17 2011-02-12 Common Stock 2222 22222 D non-qualified stock options (right to buy) 9.74 2004-02-06 2013-02-06 Common Stock 35556 35556 D non-qualified stock options (right to buy) 21.67 2004-12-13 2013-12-03 Common Stock 14000 14000 D Non-qualified stock option (right to buy) 13.81 2004-12-10 2014-06-10 Common Stock 6000 6000 D Non-qualified stock options, (right to buy) 15.03 2004-12-18 2014-12-18 Common Stock 20000 20000 D Emplyee stock purchase as of 12/31/04 Become exercisable in equal annual installments of 20% commencing 12/08/02 Become exercisable in equal annual installments of 20% commencing 02/12/02 Become exercisable in equal annual installments of 20% commencing 02/06/04 Become exercisable in equal annual installments of 20% commencing 12/13/04 Represents plan holdings as of 12/28/04 based upon most recent plan statement timely distributed. B leigh Weintraub 2004-12-18 -----END PRIVACY-ENHANCED MESSAGE-----