-----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, UBJ4YTy7+4Z5U5tKlqZLYOT1bwFokeqKXXGOW+BbrxXGYPvRs+aybKOosfmkj8c0 VuIhs7stYYA240ehiCF/bA== 0001179110-06-001869.txt : 20060120 0001179110-06-001869.hdr.sgml : 20060120 20060120190254 ACCESSION NUMBER: 0001179110-06-001869 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051228 FILED AS OF DATE: 20060120 DATE AS OF CHANGE: 20060120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 06541865 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/A 1 edgar.xml FORM 4/A - X0202 4/A 2005-12-28 2005-12-30 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 Nonqualified stock option (right to buy) 12.14 2005-12-28 4 A 0 40000 12.14 A 2005-12-28 2015-12-28 Common Stock 40000 40000 D Reporting owner owns no other derivative securities containing identical terms to those in this reported transaction Fred P Lampropoulos 2005-12-30 -----END PRIVACY-ENHANCED MESSAGE-----