-----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, S1VrP1IoWvpVWoqBHQJeEMhZJ3lGWjCMNwi6QTXSZZ0bbiNsegNliHEDMBIslSB4 hunOIfDVi4uJPHCYAgpMKA== 0001179110-09-004960.txt : 20090313 0001179110-09-004960.hdr.sgml : 20090313 20090313162712 ACCESSION NUMBER: 0001179110-09-004960 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090311 FILED AS OF DATE: 20090313 DATE AS OF CHANGE: 20090313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PERRY RASHELLE CENTRAL INDEX KEY: 0001184963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 09680441 BUSINESS ADDRESS: STREET 1: MERIT MEDICAL SYSTEMS INC STREET 2: 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 - X0303 4 2009-03-11 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184963 PERRY RASHELLE 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Legal Officer Common Stock 2009-03-11 4 I 0 5752 9.964 A 6332 I By 401 (k) Plan Common Stock 514 D Non-qualified stock options (right to buy) 7.61 2002-12-08 2011-12-08 Common Stock 12487 5292 D Non-qualified stock options (right to buy) 9.74 2004-02-06 2013-02-06 Common Stock 17777 17777 D Non-qualified stock options (right to buy) 21.67 2004-12-13 2013-12-13 Common Stock 7000 7000 D Non-qualified stock options (right to buy) 13.81 2004-06-10 2014-06-10 Common Stock 3000 3000 D Non-qualified stock options (right to buy) 15.03 2004-12-18 2014-12-18 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 12.14 2005-12-28 2015-12-28 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 12.13 2008-06-27 2014-06-27 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 14.41 2009-05-21 2015-05-21 Common Stock 20000 20000 D Represents plan holdings as of 03/13/2009. Acquired under the Employee Stock Purchase Plan of 12/31/05. Become exercisable in equal annual installments of 20% commencing 12/08/02. Become exercisable in equal annual installments of 20% commencing 02/06/04. Become exercisable in equal annual installments of 20% commencing 12/13/04. Become exercisable in equal annual installments of 20% commencing 06/27/08. Become exercisable in equal annual installments of 20% commencing 05/21/09. Rashelle Perry 2009-03-13 -----END PRIVACY-ENHANCED MESSAGE-----