0001179110-12-009060.txt : 20120525 0001179110-12-009060.hdr.sgml : 20120525 20120525110535 ACCESSION NUMBER: 0001179110-12-009060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120523 FILED AS OF DATE: 20120525 DATE AS OF CHANGE: 20120525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Karras Nolan E. CENTRAL INDEX KEY: 0001534914 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 12869865 MAIL ADDRESS: STREET 1: 4695 SOUTH 1900 WEST CITY: ROY STATE: UT ZIP: 84067 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 2012-05-23 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001534914 Karras Nolan E. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 4000 I By IRA Non-qualified stock options (right to buy) 12.91 2012-05-23 4 A 0 20000 0 A 2013-05-23 2019-05-23 Common Stock 20000 20000 D Becomes exercisable in equal annual installments of 20% commencing 5/23/2013. Gregory L. Barnett, Attorney-in-Fact 2012-05-25