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