0001179110-12-007749.txt : 20120504
0001179110-12-007749.hdr.sgml : 20120504
20120504140543
ACCESSION NUMBER: 0001179110-12-007749
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120502
FILED AS OF DATE: 20120504
DATE AS OF CHANGE: 20120504
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: 12813477
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 -
X0305
4
2012-05-02
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
84792
I
By 401(k) Plan
Common Stock, No Par Value
2012-05-02
4
M
0
22221
7.65
A
1030459
D
Common Stock, No Par Value
2012-05-02
4
F
0
15717
13.35
D
1014742
D
Non-qualified stock options (right to buy)
7.65
2012-05-02
4
M
0
22221
0
D
2002-05-23
2012-05-23
Common Stock
22221
0
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
2012-08-11
2018-08-11
Common Stock
120000
120000
D
Represents plan holdings as of 5/2/2012.
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.
Becomes exercisable in equal annual installments of 20% commencing 8/11/2012.
Stock options were exercised in a swap transaction with the Company. 15,717 shares of common stock were surrendered for payroll taxes and payment of the option price. No shares were sold in the open market.
Gregory L. Barnett, Attorney-in-Fact
2012-05-04