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