-----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, Bz70N2yK/PP5cfMeNIW44K+oK/8gkCozzsNK9+YlNiP/pgpdpRh/g5Oih8rB9fW0 cMverqTxFbNzuHmu+87XCA== 0001179110-06-013781.txt : 20060621 0001179110-06-013781.hdr.sgml : 20060621 20060621102125 ACCESSION NUMBER: 0001179110-06-013781 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060621 FILED AS OF DATE: 20060621 DATE AS OF CHANGE: 20060621 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: STILLABOWER MICHAEL E CENTRAL INDEX KEY: 0001192955 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 06916512 BUSINESS ADDRESS: STREET 1: C/O MERIT MEDICAL SYSTEMS INC STREET 2: 1600 W MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 8012531600 4 1 edgar.xml FORM 4 - X0202 4 2006-06-21 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001192955 STILLABOWER MICHAEL E 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Comon Stock, No Par Value 22222 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 2015-05-25 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 11.52 2006-05-25 4 A 0 15000 11.52 A 2006-05-25 2013-05-25 Common Stock 15000 15000 D Becomes exercisable in equal installments of 33.33% commencing 05/25/07 Greg Barnett 2006-06-20 -----END PRIVACY-ENHANCED MESSAGE-----