-----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, L6d32AZDD3tSMp36t4/qDLuQQgwjPy1ug6JfW281nNgaX7W5R4pIyDWIE90+sJgt q6qUQHT1twTujE4hneLOdg== 0001179110-11-001334.txt : 20110126 0001179110-11-001334.hdr.sgml : 20110126 20110126121117 ACCESSION NUMBER: 0001179110-11-001334 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101231 FILED AS OF DATE: 20110126 DATE AS OF CHANGE: 20110126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 11548572 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 5 1 edgar.xml FORM 5 - X0303 5 2010-12-31 0 0 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 Chief Financial Officer Common Stock, No Par Value 57681 I By 401(k) plan Common Stock, No Par Value 148041 I Family Limited Partnership Common Stock, No Par Value 3416 D Common Stock, No Par Value 2010-12-27 5 G 0 1800 0 D 412140 D Non-qualified stock options (right to buy) 2.07 2002-02-12 2011-02-12 Common Stock 38027 38027 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) 7.61 2002-12-08 2011-12-08 Common Stock 44444 44444 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) 9.74 2004-02-06 2013-02-06 Common Stock 35556 35556 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) 21.67 2004-12-13 2013-12-13 Common Stock 14000 14000 D Non-qualified stock options (right to buy) 13.81 2004-06-10 2014-06-10 Common Stock 6000 6000 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) 15.03 2004-12-18 2014-12-18 Common Stock 20000 20000 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) 12.14 2005-12-28 2015-12-28 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 11.52 2007-05-25 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 20000 20000 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 35000 35000 D Non-qualified stock options (right to buy) 17.28 2010-09-26 2016-09-26 Common Stock 20000 20000 D Represents plan holdings as of 12/31/10. Employee stock purchase plan as of 12/31/10. Becomes exercisable in equal annual installments of 20% commmencing 02/12/02. Becomes exercisable in equal annual installments of 20% commmencing 12/08/02. Becomes exercisable in equal annual installments of 20% commmencing 02/06/04. Becomes exercisable in equal annual installments of 33.33% commmencing 05/25/07. Becomes exercisable in equal annual installments of 20% commmencing 06/27/08. Becomes exercisable in equal annual installments of 20% commmencing 05/21/09. Becomes exercisable in equal annual installments of 20% commmencing 09/26/2010. Kent W. Stanger 2011-01-26 -----END PRIVACY-ENHANCED MESSAGE-----