-----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, EFFntasK6API+n3GT866wbVB2QkVrLLDHan2A5EVZu7lAkD63sjIgU73nckpYSOZ hsfOHMLr2jlXyBPBMLvLDg== 0001179110-05-011014.txt : 20050611 0001179110-05-011014.hdr.sgml : 20050611 20050526120137 ACCESSION NUMBER: 0001179110-05-011014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050525 FILED AS OF DATE: 20050526 DATE AS OF CHANGE: 20050526 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: BEAN REX C CENTRAL INDEX KEY: 0001184930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 05858833 BUSINESS ADDRESS: STREET 1: 1600 W. MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0202 4 2005-05-25 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 159650 D Common Stock, No Par Value 16800 D Common Stock, No Par Value 70112 D Common Stock, No Par Value 17777 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 Non-qualified stock options (right to buy) 14.26 2005-05-25 4 A 0 15000 14.26 A 2005-05-25 2015-05-25 Common Stock 15000 15000 D Bean Family Investment LLC Rex Bean Trust (revocable) Rex & Anita Bean Trust Rex C Bean 2005-05-25 -----END PRIVACY-ENHANCED MESSAGE-----