-----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, N9vJezr3iu9BeTOgNst3VEHB82DdEVhSkSzMNibZMBMAsNV68W5jdpKgkwPsqO/1 rqtDAAJ+uIk64QzC/e/V7g== 0001179110-10-011066.txt : 20100629 0001179110-10-011066.hdr.sgml : 20100629 20100629170930 ACCESSION NUMBER: 0001179110-10-011066 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: BEAN REX C CENTRAL INDEX KEY: 0001184930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 10924671 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 0001184930 BEAN REX C 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 48557 I Rex C. 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 30000 I Rex C. Bean Charitable Remainder Unitrust 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 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 2010-09-26 2016-09-26 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 16.45 2010-06-25 4 A 0 20000 0 A 2011-06-25 2017-06-25 Common Stock 20000 20000 D Represents shares held in the Rex C. Bean Trust Represents shares held in the Bean Family Investments, LLC Represents shares held in the Bean Family Foundation Represents shares held in the Rex C. Bean Charitable Remainder Unitrust Become exercisable in equal annual installments of 33.33% commencing 05/25/2007. 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. Become exercisable in equal annual installments of 20% commencing 06/25/2011. Rashelle Perry, Attorney-in-Fact 2010-06-29 -----END PRIVACY-ENHANCED MESSAGE-----