0001179110-11-006671.txt : 20110419
0001179110-11-006671.hdr.sgml : 20110419
20110419192102
ACCESSION NUMBER: 0001179110-11-006671
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110418
FILED AS OF DATE: 20110419
DATE AS OF CHANGE: 20110419
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: 11769192
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
2011-04-18
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, No Par Value
2011-04-18
4
M
0
15000
13.81
A
19251
D
Common Stock, No Par Value
2011-04-18
4
M
0
15000
11.52
A
34251
D
Common Stock, No Par Value
2011-04-18
4
S
0
30000
22.36
D
4251
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
2011-04-18
4
M
0
15000
0
D
2004-06-10
2014-06-10
Common Stock
15000
0
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
2011-04-18
4
M
0
15000
0
D
2006-05-25
2013-05-25
Common Stock
15000
0
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
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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.25 to $22.40, 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
2011-04-19