-----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, BKYz6AYmyJlcKS4YydaLL0aTLwOkNa/OgoE1+SOHY4mq8TvD8B2Vu3MMcsDDEnCb yOjGn/G5GaYiu2H8vD3Gxw== 0001179110-06-003949.txt : 20060215 0001179110-06-003949.hdr.sgml : 20060215 20060215141246 ACCESSION NUMBER: 0001179110-06-003949 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051231 FILED AS OF DATE: 20060215 DATE AS OF CHANGE: 20060215 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: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 06621288 BUSINESS ADDRESS: STREET 1: 79 WEST 4500 SOUTH STREET 2: SUITE 9 CITY: SALT LAKE CITY STATE: UT ZIP: 84107 5 1 edgar.xml FORM 5 - X0202 5 2005-12-31 0 1 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 Chief Financial Officer COMMON STOCK 2005-12-28 5 G 0 2000 0 D 426800 D COMMON STOCK 3 148041 I Family Limited Partnership COMMON STOCK 3 50598 I 401(K) Plan COMMON STOCK 3 3416 D Amount adjusted by two shares to correct prior rounding up. Represents Plan holdings as of 12/31/05. Employee stock purchae plan as of 12/31/05. Kent Stanger 2006-02-14 -----END PRIVACY-ENHANCED MESSAGE-----