0001179110-13-001278.txt : 20130125
0001179110-13-001278.hdr.sgml : 20130125
20130125184820
ACCESSION NUMBER: 0001179110-13-001278
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121101
FILED AS OF DATE: 20130125
DATE AS OF CHANGE: 20130125
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEAN REX C
CENTRAL INDEX KEY: 0001184930
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 13549885
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/A
1
edgar.xml
FORM 4/A -
X0306
4/A
2012-11-01
2012-11-05
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001184930
BEAN REX C
1600 W MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
0
0
0
Common Stock, No Par Value
2012-11-01
4
G
0
14000
0
D
46696
I
Rex C. Bean Trust dated 8/8/02
Common Stock, No Par Value
158279
I
Bean Family Investments, LLC
Common Stock, No Par Value
500
I
Bean Family Foundation
Common Stock, No Par Value
2012-11-01
4
G
0
14000
0
A
69203
I
Rex C. Bean Charitable Remainder Trust
Common Stock, No Par Value
35149
I
Bean Family Revocable Trust dated 6/24/94
Non-qualified stock options (right to buy)
8.38
2003-05-22
2013-05-22
Common Stock
0
0
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)
11.41
2005-05-25
2015-05-25
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
9.22
2006-05-25
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
18750
18750
D
Non-qualified stock options (right to buy)
11.53
2009-05-21
2015-05-21
Common Stock
18750
18750
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)
13.16
2011-06-25
2017-06-25
Common Stock
25000
25000
D
Non-qualified stock options (right to buy)
13.75
2012-08-11
2018-08-11
Common Stock
20000
20000
D
Non-qualified stock options (right to buy)
12.91
2013-05-23
2019-05-23
Common Stock
20000
20000
D
Becomes exercisable in equal annual installments of 20% commencing 06/27/2008.
Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
Becomes exercisable in equal annual installments of 20% commencing 09/26/2010.
Becomes exercisable in equal annual installments of 20% commencing 06/25/2011.
Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
Becomes exercisable in equal annual installments of 20% commencing 05/23/2013.
This amendment is being filed to remove the holdings of options to exercise 26,801 shares in column 9 of Table II. All of the options that were exercisable at a price of $8.38 were previously exercised and the exercise of such options was previously reported on a Form 4.
Gregory L. Barnett, Attorney-in-Fact
2013-01-25