-----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, BNDlQ8NPH/o2uf+fJQeg+BjCPD+Crfeik6cILRYXa19EUtY5O4X5D/RSEklj9YRR kBkkkwxPJZtt6T2AJsuDHA== 0001179110-05-011799.txt : 20050611 0001179110-05-011799.hdr.sgml : 20050611 20050606171719 ACCESSION NUMBER: 0001179110-05-011799 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050606 FILED AS OF DATE: 20050606 DATE AS OF CHANGE: 20050606 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: Lampropoulos Bryan R CENTRAL INDEX KEY: 0001327907 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 05881175 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 2005-06-06 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001327907 Lampropoulos Bryan R 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 EVP OEM Sales Common Stock, No Par Value 31359 D Common Stock, No Par Value 27384 I by 401(k) plan Non-qualified Stock Options (right to buy) 21.67 2003-12-13 2013-12-13 Common Stock 14000 D Non-qualified Stock Options (right to buy) 15.03 2004-12-18 2014-12-18 Common Stock 20000 D Non-qualified Stock Options (right to buy) 7.61 2002-12-08 2011-12-08 Common Stock 13332 D Non-qualified Stock Options (right to buy) 9.74 2004-02-06 2013-02-06 Common Stock 21333 D Non-qualified Stock Options (right to buy) 2.07 2002-02-12 2011-02-12 Common Stock 5555 D Represents plan holdings as of June 3, 2005 based upon most recent plan statement timely distributed Become exercisable in equal annual installments of 20% commencing 12/08/2002 Become exercisable in equal annual installments of 20% commencing 02/06/2004 Become exercisable in equal annual installments of 20% commencing 02/12/2002 Bryan R. Lampropoulos 2005-06-06 -----END PRIVACY-ENHANCED MESSAGE-----