0001179110-11-005346.txt : 20110322
0001179110-11-005346.hdr.sgml : 20110322
20110322173930
ACCESSION NUMBER: 0001179110-11-005346
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110321
FILED AS OF DATE: 20110322
DATE AS OF CHANGE: 20110322
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nelson Arlin D
CENTRAL INDEX KEY: 0001382939
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 11704793
MAIL ADDRESS:
STREET 1: 1600 W. MERIT PARKWAY
CITY: SOUTH JORDAN
STATE: UT
ZIP: 84095
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
2011-03-21
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001382939
Nelson Arlin D
1600 W. MERIT PARKWAY
SOUTH JORDAN
UT
84095
0
1
0
0
Chief Operating Officer
Common Stock, No Par Value
743
I
By 401(k) Plan
Common Stock, No Par Value
2011-03-21
4
M
0
8890
7.61
A
8890
D
Common Stock, No Par Value
2011-03-21
4
S
0
8890
18.8606
D
0
D
Non-qualified Stock Options (right to buy)
7.61
2011-03-21
4
M
0
8890
0
D
2001-12-08
2011-12-08
Common Stock
8890
0
D
Non-qualified Stock Options (right to buy)
9.74
2003-02-06
2013-02-06
Common Stock
8889
8889
D
Non-qualified Stock Options (right to buy)
21.67
2003-12-13
2013-12-13
Common Stock
3500
3500
D
Non-qualified Stock Options (right to buy)
13.81
2004-06-10
2014-06-10
Common Stock
1500
1500
D
Non-qualified Stock Options (right to buy)
15.03
2004-12-18
2014-12-18
Common Stock
10000
10000
D
Non-qualified Stock Options (right to buy)
12.14
2005-12-28
2015-12-28
Common Stock
10000
10000
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)
14.41
2009-05-21
2015-05-21
Common Stock
25000
25000
D
Represents plan holdings as of March 21, 2011.
Becomes exercisable in equal annual installments of 20% commencing 06/27/08.
Becomes exercisable in equal annual installments of 20% commencing 05/21/09.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.85 to $18.92, 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.
Arlin D. Nelson
2011-03-22