0001179110-11-007689.txt : 20110510
0001179110-11-007689.hdr.sgml : 20110510
20110510153347
ACCESSION NUMBER: 0001179110-11-007689
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110509
FILED AS OF DATE: 20110510
DATE AS OF CHANGE: 20110510
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: 11827864
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
2011-05-09
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
2011-05-09
4
S
0
5949
19.159
D
0
I
By 401(k) plan.
Non-qualified stock options (right to buy)
7.79
2004-02-06
2013-02-06
Common Stock
9375
9375
D
Non-qualified stock options (right to buy)
17.34
2004-12-13
2013-12-13
Common Stock
8750
8750
D
Non-qualified stock options (right to buy)
11.05
2004-06-10
2014-06-10
Common Stock
3750
3750
D
Non-qualified stock options (right to buy)
12.02
2004-12-18
2014-12-18
Common Stock
12500
12500
D
Non-qualified stock options (right to buy)
9.71
2005-12-28
2015-12-28
Common Stock
12500
12500
D
Non-qualified stock options (right to buy)
9.70
2008-06-27
2014-06-27
Common Stock
12500
12500
D
Non-qualified stock options (right to buy)
11.53
2009-05-21
2015-05-21
Common Stock
25000
25000
D
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 $19.12 to $19.33, 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.
Amounts have been adjusted to reflect the 5-for-4 split of the issuer's common stock that was effected on May 5, 20ll.
Gregory L. Barnett
2011-05-10