0001179110-11-006682.txt : 20110419
0001179110-11-006682.hdr.sgml : 20110419
20110419193214
ACCESSION NUMBER: 0001179110-11-006682
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: BARNETT GREG L
CENTRAL INDEX KEY: 0001184932
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 11769224
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
0001184932
BARNETT GREG L
1600 W. MERIT PARKWAY
SOUTH JORDAN
UT
84095
0
1
0
0
Chief Accounting Officer
Common Stock, No Par Value
2011-04-18
4
M
0
4779
7.61
A
4779
D
Common Stock, No Par Value
2011-04-18
4
M
0
10277
9.74
A
15056
D
Common Stock, No Par Value
2011-04-18
4
S
0
15056
22.42
D
0
D
Common Stock, No Par Value
4759
I
By 401(k) plan
Non-qualified stock options (right to buy)
7.61
2011-04-18
4
M
0
4779
0
D
2002-12-08
2011-12-08
Common Stock
4779
0
D
Non-qualified stock options (right to buy)
9.74
2011-04-18
4
M
0
10277
0
D
2004-02-06
2013-02-06
Common Stock
10277
7500
D
Non-qualified stock options (right to buy)
21.67
2004-12-13
2013-12-13
Common Stock
7000
7000
D
Non-qualified stock options (right to buy)
13.81
2004-06-10
2014-06-10
Common Stock
3000
3000
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
10000
10000
D
Non-qualified stock options (right to buy)
14.41
2009-05-21
2015-05-21
Common Stock
20000
20000
D
Represents plan holdings as of 04/15/2011.
Becomes exercisable in equal annual installments of 20% commencing 12/08/02.
Becomes exercisable in equal annual installments of 20% commencing 02/06/04.
Becomes exercisable in equal annual installments of 20% commencing 12/13/04.
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 $22.19 to $22.74, 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 Form 4.
Gregory L. Barnett
2011-04-19