-----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, UykVcd/o1SS+/kef46fcqlCTRWX3q6yfPQ94EiSelgUrX9c3ENtmtiX1daZHB85d zySOtqYA8PKCtqGuVYkwnQ== 0001179110-07-001191.txt : 20070112 0001179110-07-001191.hdr.sgml : 20070112 20070112142003 ACCESSION NUMBER: 0001179110-07-001191 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061218 FILED AS OF DATE: 20070112 DATE AS OF CHANGE: 20070112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEAN REX C CENTRAL INDEX KEY: 0001184930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 07528326 BUSINESS ADDRESS: STREET 1: 1600 W. MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 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 1 edgar.xml FORM 4 - X0202 4 2006-12-18 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184930 BEAN REX C 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 2006-12-18 4 G 0 334 D 79229 I Rex Bean Trust Common Stock, No Par Value 108174 I Bean Family Investments, LLC Common Stock, No Par Value 400 I Bean Family Foundation Common Stock, No Par Value 46568 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 optons (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 2013-05-25 Common Stock 15000 15000 D Represents shares held in the Rex Bean Trust Represents shares held in the Bean Family Investment LLC Represents shares held in the Bean Family Foundation Become exercisable in equal annual installments of 33.33% commencing 05/25/07 This is a gift Kent W. Stanger, Attorney-in-fact 2007-01-11 -----END PRIVACY-ENHANCED MESSAGE-----