0001179110-11-005172.txt : 20110317 0001179110-11-005172.hdr.sgml : 20110317 20110317183141 ACCESSION NUMBER: 0001179110-11-005172 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110316 FILED AS OF DATE: 20110317 DATE AS OF CHANGE: 20110317 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EDELMAN RICHARD W CENTRAL INDEX KEY: 0001184931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 11696229 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 2011-03-16 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184931 EDELMAN RICHARD W 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 2011-03-16 4 M 0 11667 10.47 A 11667 D Common Stock, No Par Value 2011-03-16 4 S 0 11667 18.133 D 0 D Non-qualified stock options (right to buy) 10.47 2011-03-16 4 M 0 11667 0 D 2003-05-22 2013-05-22 Common Stock 11667 0 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 2010-09-26 2016-09-26 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 16.45 2011-06-25 2017-06-25 Common Stock 20000 20000 D 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. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.13 to $18.15, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote to this Form 4. Greg Barnett, Attorney-in-Fact 2011-03-16