-----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, Mm050aU6AQzkMmYN+XvHfi2ZCsyon824wVrOYv6G2vaCrfAbmwn189wbp7/05fHR rs6igQ3KCr0yjCkyAbF3+Q== 0001179110-05-011396.txt : 20050611 0001179110-05-011396.hdr.sgml : 20050611 20050601164317 ACCESSION NUMBER: 0001179110-05-011396 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050525 FILED AS OF DATE: 20050601 DATE AS OF CHANGE: 20050601 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: Miller Franklin J CENTRAL INDEX KEY: 0001327767 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 05871231 BUSINESS ADDRESS: BUSINESS PHONE: 8012084302 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 3 1 edgar.xml FORM 3 - X0202 3 2005-05-25 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001327767 Miller Franklin J 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 12554 I Franklin J. Miller and Bonnie A. Miller Family Trust Non-qualified stock options (right to buy) 14.26 2005-05-25 2015-05-25 common stock 15000 D Franklin J. Miller & Bonnie A. Miller Family Trust Franklin J Miller 2005-06-01 -----END PRIVACY-ENHANCED MESSAGE-----