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