0001179110-11-008239.txt : 20110518
0001179110-11-008239.hdr.sgml : 20110518
20110518183012
ACCESSION NUMBER: 0001179110-11-008239
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110513
FILED AS OF DATE: 20110518
DATE AS OF CHANGE: 20110518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PERRY RASHELLE
CENTRAL INDEX KEY: 0001184963
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 11855991
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
2011-05-13
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001184963
PERRY RASHELLE
1600 W. MERIT PARKWAY
SOUTH JORDAN
UT
84095
0
1
0
0
Chief Legal Officer
Common Stock, No Par Value
2011-05-13
4
S
0
8546
19.00
D
2508
I
By 401 (k) plan
Common Stock, No Par Value
2011-05-16
4
S
0
2508
19.01
D
0
I
By 401 (k) plan.
Common Stock, No Par Value
1958
D
Common Stock, No Par Value
643
D
Non-qualified stock options (right to buy)
7.79
2004-02-06
2013-02-06
Common Stock
22221
22221
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
Acquired under the Employee Stock Purchase Plan of 12/31/05.
Become exercisable in equal annual installments of 20% commencing 02/06/04.
Become exercisable in equal annual installments of 20% commencing 12/13/04.
Become exercisable in equal annual installments of 20% commencing 06/27/08.
Become 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 $19.0100 to $19.0101, 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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.99 to $19.00, 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.
Represents plan holdings as of May 13, 2011.
Gregory L. Barnett, Attorney-in-Fact
2011-05-18