0001179110-11-012232.txt : 20110815
0001179110-11-012232.hdr.sgml : 20110815
20110815173701
ACCESSION NUMBER: 0001179110-11-012232
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: PERRY RASHELLE
CENTRAL INDEX KEY: 0001184963
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 111038107
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
0001184963
PERRY RASHELLE
1600 W. MERIT PARKWAY
SOUTH JORDAN
UT
84095
0
1
0
0
Chief Legal Officer
Common Stock, No Par Value
9435
D
Common Stock, No Par Value
643
D
Common Stock, No Par Value
287
I
By 401(k)plan
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
Non-qualified stock options (right to buy)
13.75
2011-08-11
4
A
0
40000
0
A
2012-08-11
2018-08-11
Common Stock
40000
40000
D
Acquired under the Employee Stock Purchase Plan.
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.
Represents plan holdings as of 08/11/11.
Become exercisable in equal annual installments of 20% commencing 08/11/12.
Gregory L. Barnett, Attorney-in-Fact
2011-08-15