-----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, N4E2EPJlzoGJb5GRdAqZgoCsw4lxwiqmy7Z5zx1xkZ1RAlua5/CTOuKU9kY2IspK WlUoQztanlw/eQfaIYOS2Q== 0001179110-09-013718.txt : 20090925 0001179110-09-013718.hdr.sgml : 20090925 20090925160623 ACCESSION NUMBER: 0001179110-09-013718 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090923 FILED AS OF DATE: 20090925 DATE AS OF CHANGE: 20090925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nelson Arlin D CENTRAL INDEX KEY: 0001382939 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 091087746 MAIL 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 - X0303 4 2009-09-23 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001382939 Nelson Arlin D 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Operating Officer Common Stock, No Par Value 864 I By 401(k) Plan Common Stock, No Par Value 2009-09-23 4 M 0 8335 2.07 A 8335 D Common Stock, No Par Value 2009-09-23 4 S 0 8335 17.7855 D 0 D Non-qualified Stock Options (right to buy) 2.07 2009-09-23 4 M 0 8335 0 D 2001-02-12 2011-02-12 Common Stock 8335 0 D Non-qualified Stock Options (right to buy) 7.61 2001-12-08 2011-12-08 Common Stock 8890 8890 D Non-qualified Stock Options (right to buy) 9.74 2003-02-06 2013-02-06 Common Stock 8889 8889 D Non-qualified Stock Options (right to buy) 21.67 2003-12-13 2013-12-13 Common Stock 3500 3500 D Non-qualified Stock Options (right to buy) 13.81 2004-06-10 2014-06-10 Common Stock 1500 1500 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 20000 20000 D Non-qualified stock options (right to buy) 14.41 2009-05-21 2015-05-21 Common Stock 25000 25000 D Represents plan holdings as of September 23, 2009. Becomes exercisable in equal annual installments of 20% commencing 2/12/02. Becomes exercisable in equal annual installments of 20% commencing 12/08/02. Becomes exercisable in equal annual installments of 20% commencing 02/06/04. Becomes exercisable in equal annual installments of 20% commencing 06/27/08. Becomes exercisable in equal annual installments of 20% commencing 05/21/09. The shares were sold at prices ranging from $17.76 to $18.01. The reporting person undertakes to provide upon request by the SEC staff, the issuer, or any security holder of the issuer, full information regarding the number of shares sold at each separate price Arlin D. Nelson 2009-09-25 -----END PRIVACY-ENHANCED MESSAGE-----