0001179110-11-006754.txt : 20110421
0001179110-11-006754.hdr.sgml : 20110421
20110421125445
ACCESSION NUMBER: 0001179110-11-006754
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110419
FILED AS OF DATE: 20110421
DATE AS OF CHANGE: 20110421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stephens Martin R
CENTRAL INDEX KEY: 0001310727
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 11772873
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
2011-04-19
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001310727
Stephens Martin R
1600 W. MERIT PARKWAY
SOUTH JORDAN
UT
84095
0
1
0
0
Executive V.P. of Sales
Common Stock, No Par Value
8979
I
By 401(k) Plan
Common Stock, No Par Value
2011-04-19
4
M
0
5842
14.41
A
5842
D
Common Stock, No Par Value
2011-04-19
4
S
0
5842
22.50
D
0
D
Commmon Stock, No Par Value
2011-04-20
4
M
0
2158
14.41
A
2158
D
Common Stock, No Par Value
2011-04-20
4
M
0
5000
14.48
A
7158
D
Common Stock, No Par Value
2011-04-20
4
M
0
9000
12.13
A
16158
D
Common Stock, No Par Value
2011-04-20
4
S
0
16158
22.69
D
0
D
Non-qualified stock options (right to buy)
15.03
2004-12-18
2014-12-18
Common Stock
20000
20000
D
Non-qualified stock options (right to buy)
14.48
2011-04-20
4
M
0
5000
0
D
2005-07-14
2014-07-14
Common Stock
5000
0
D
Non-qualified stock options (right to buy)
12.13
2011-04-20
4
M
0
9000
0
D
2008-06-27
2014-06-27
Common Stock
9000
6000
D
Non-qualified stock options (right to buy)
14.41
2011-04-19
4
M
0
5842
0
D
2009-05-21
2015-05-21
Common Stock
5842
14158
D
Non-qualified stock options (right to buy)
14.41
2011-04-20
4
M
0
2158
0
D
2009-05-21
2015-05-21
Common Stock
2158
12000
D
Represents plan holdings as of 4/15/2011.
The option vests in equal annual installments of 1,000 shares commencing on July 14, 2005 and continuing through July 14, 2009.
Becomes exercisable in equal annual installments of 20% commencing 06/27/2008.
Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.50 to $22.51, 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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $22.63 to $22.7201, 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.
Martin R. Stephens
2011-04-21