0001179110-11-012230.txt : 20110815 0001179110-11-012230.hdr.sgml : 20110815 20110815173335 ACCESSION NUMBER: 0001179110-11-012230 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110811 FILED AS OF DATE: 20110815 DATE AS OF CHANGE: 20110815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 111038096 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 - X0304 4 2011-08-11 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 President & CEO Common Stock, No Par Value 82986 I By 401(k) Plan Common Stock, No Par Value 1008238 D Non-qualified stock options (right to buy) 7.65 2002-05-23 2012-05-23 Common Stock 22221 22221 D Non-qualified stock options (right to buy) 7.79 2004-02-06 2013-02-06 Common Stock 88889 88889 D Non-qualified stock options (right to buy) 8.38 2003-05-22 2013-05-22 Common Stock 33334 33334 D Non-qualified stock options (right to buy) 17.34 2004-12-13 2013-12-13 Common Stock 35000 35000 D Non-qualified stock options (right to buy) 17.34 2003-12-13 2013-12-13 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 11.05 2004-06-10 2014-06-10 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 11.05 2004-06-10 2014-06-10 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 12.02 2004-12-18 2014-12-18 Common Stock 50000 50000 D Non-qualified stock options (right to buy) 11.41 2005-05-25 2015-05-25 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 14.39 2005-07-15 2015-07-15 Common Stock 93750 93750 D Non-qualified stock options (right to buy) 9.71 2005-12-28 2015-12-28 Common Stock 50000 50000 D Non-qualified stock options (right to buy) 9.22 2007-05-25 2013-05-25 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 9.70 2008-06-27 2014-06-27 Common Stock 50000 50000 D Non-qualified stock options (right to buy) 9.70 2008-06-27 2014-06-27 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 68750 68750 D Non-qualified stock options (right to buy) 13.82 2010-09-26 2016-09-26 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.75 2011-08-11 4 A 0 120000 0 A 2012-08-11 2018-08-11 Common Stock 120000 120000 D Represents plan holdings as of 8/11/2011. Becomes exercisable in equal annual installments of 20% commencing 2/6/2004. Becomes exercisable in equal annual installments of 20% commencing 12/13/2004. Becomes exercisable in equal annual installments of 33.33% commencing 5/25/2007. Becomes exercisable in equal annual installments of 20% commencing 6/27/2008. Becomes exercisable in equal annual installments of 20% commencing 5/21/2009. Becomes exercisable in equal annual installments of 20% commencing 9/26/2010. Amounts have been adjusted to reflect the 5-for-4 split of the issuer's common stock that was effected on May 5, 20ll. Becomes exercisable in equal annual installments of 20% commencing 8/11/2012. Gregory L. Barnett, Attorney-in-Fact 2011-08-15