-----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, Wjs8OuVUPKwdPm4uI9tF2/4rieapisutz7waZLYx+b4skLJEB+f7P37lJheWflJh 7YWSACOCIxrnohXKwJplLQ== 0001179110-10-011064.txt : 20100629 0001179110-10-011064.hdr.sgml : 20100629 20100629170717 ACCESSION NUMBER: 0001179110-10-011064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100625 FILED AS OF DATE: 20100629 DATE AS OF CHANGE: 20100629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELLIS JAMES J CENTRAL INDEX KEY: 0001192954 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 10924646 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 2010-06-25 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001192954 ELLIS JAMES J 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock 20001 D Nonqualified stock options (rights to buy) 10.47 2003-05-22 2013-05-22 Common Stock 26667 26667 D Nonqualified stock options (rights to buy) 21.67 2003-12-13 2013-12-13 Common Stock 15000 15000 D Nonqualified stock options (rights to buy) 13.81 2004-06-10 2014-06-10 Common Stock 15000 15000 D Nonqualified stock options (rights to buy) 14.26 2005-05-25 2015-05-25 Common Stock 15000 15000 D Nonqualified stock options (rights to buy) 11.52 2006-05-25 2013-05-25 Common Stock 15000 15000 D Nonqualified stock options (rights to buy) 12.13 2008-06-27 2014-06-27 Common Stock 15000 15000 D Nonqualified stock options (rights to buy) 14.41 2009-05-21 2015-05-21 Common Stock 15000 15000 D Nonqualified stock options (rights to buy) 17.28 2010-09-26 2016-09-26 Common Stock 20000 20000 D Nonqualified stock options (rights to buy) 16.45 2010-06-25 4 A 0 20000 0 A 2011-06-25 2017-06-25 Common Stock 20000 20000 D Become exercisable in equal annual installments of 20% commencing 6/27/2008. Become exercisable in equal annual installments of 20% commencing 5/21/2009. Become exercisable in equal annual installments of 20% commencing 9/26/2010. Become exercisable in equal annual installments of 20% commencing 6/25/2011. Rashelle Perry, Attorney-in-Fact 2010-06-29 -----END PRIVACY-ENHANCED MESSAGE-----