-----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, NfqKw4Soubu6XxxY1XyYI/wq26BbG3rgy7e5gK5YDkzYmcToEvOg7ldOuCVeOb+i BkThFq7PZKNL8zbdjSfMKw== 0001179110-09-013765.txt : 20090929 0001179110-09-013765.hdr.sgml : 20090929 20090929164839 ACCESSION NUMBER: 0001179110-09-013765 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090926 FILED AS OF DATE: 20090929 DATE AS OF CHANGE: 20090929 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: 091093417 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 2009-09-26 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001192955 STILLABOWER MICHAEL E 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 22222 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 2013-05-25 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 12.13 2008-06-27 2014-06-27 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 14.41 2009-05-21 2015-05-21 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 17.28 2009-09-26 4 A 0 20000 0 A 2010-09-26 2016-09-26 Common Stock 20000 20000 D Become exercisable in equal annual installments of 20% commencing 06/27/2008. Become exercisable in equal annual installments of 20% commencing 05/21/2009. Become exercisable in equal annual installments of 20% commencing 09/26/2010. Greg Barnett, Attorney-in-Fact 2009-09-29 -----END PRIVACY-ENHANCED MESSAGE-----