-----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, LiqvuegVn7RKV5ZzqBZGP4EOtEejGhzJ9acp4rzCSW3PyPDbBDkTsKAKQZ3q3ljK 8V4F/zt/r9DJ71f9Nf+IuA== 0001179110-05-009018.txt : 20050505 0001179110-05-009018.hdr.sgml : 20050505 20050505154918 ACCESSION NUMBER: 0001179110-05-009018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050504 FILED AS OF DATE: 20050505 DATE AS OF CHANGE: 20050505 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 05803571 BUSINESS ADDRESS: STREET 1: 1600 W MERIT PARKWAY CITY: SO JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 84095-1688 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 2005-05-04 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 President & CEO Common Stock, No Par Value 2005-05-03 4 G 0 3867 D 765966 D Common Stock, No Par Value 2005-05-03 4 G 0 1950 D 764016 D Common Stock, No Par Value 2005-05-04 4 G 0 3900 D 760116 D Common SWtock, No Par Value 2005-05-04 4 G 0 800 D 759316 D Common Stock, No Par Value 2005-05-04 4 G 0 1950 D 757366 D Common Stock, No Par Value 2005-05-04 4 G 0 5800 D 751566 D Common Stock, No Par Value 2005-05-04 4 G 0 3900 D 747666 D Common Stock, No Par Value 2005-05-04 4 G 0 1950 D 745716 D Common Stock, No Par Value 2005-05-04 4 G 0 1950 D 743766 D Common Stock, No Par Value 55636 I 401 K Plan Nonqualified stock options (right to buy) 1.62 2000-05-24 2005-05-24 Common Stock 20833 20833 D Nonqualified stock options (right to buy) 1.62 2001-01-24 2005-05-24 Common Stock 111111 111111 D Nonqualified stock options (right to buy) 2.07 2002-02-12 2011-02-12 Common Stock 111111 111111 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 88889 88889 D Nonqualified stock options (right to buy) 9.56 2002-05-23 2012-05-23 Common Stock 17777 17777 D Nonqualified stock options (right to buy) 9.74 2004-02-06 2013-02-06 Common Stock 71111 71111 D Nonqualified stock options (right to buy) 10.47 2003-05-22 2013-05-22 Common Stock 26667 26667 D Nonqualified stock options (right to buy) 21.67 2004-12-13 2013-12-13 Common Stock 28000 28000 D nonqualified 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 2004-06-10 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 13.81 2004-12-10 2014-06-10 Common Stock 12000 12000 D Non-qualified stock options (right to buy) 15.03 2004-12-18 2014-12-18 Common Stock 40000 40000 D Represent plan holding as of 02/03/04 based upon most recent plan statement timely distributed Become exercisable in equal annual installments of 20% commencing 02/12/02 Become exercisable in equal annual installments of 20% commencing 12/08/02 Become exercisable in equal annual installments of 20% commencing 12/13/04 Become exercisable in equal annual installments of 20% commencing 02/06/04 This transaction is a donation Fred P Lampropoulos 2005-05-05 -----END PRIVACY-ENHANCED MESSAGE-----