-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WpOkz/GgyRmumwzg1978RH6ogai9a0hSW+Dj9A5Q7jiVevRaj0IxSEWSEsm9Ugqy hTJ0kbYAsocnG80SpuZ8hA== 0001375765-11-000001.txt : 20110127 0001375765-11-000001.hdr.sgml : 20110127 20110127084903 ACCESSION NUMBER: 0001375765-11-000001 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020920 FILED AS OF DATE: 20110127 DATE AS OF CHANGE: 20110127 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: 11550826 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 primary_doc.xml PRIMARY DOCUMENT X0303 4/A 2002-09-20 2002-09-24 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 2002-09-20 4 G 0 10388 0 D 273616 D Common Stock, No Par Value 2002-09-20 4 G 0 10388 0 A 80388 I Bean Family Revocable Trust dated 6/24/94 Common Stock, No Par Value 2002-09-20 4 G 0 70000 0 D 10388 I Bean Family Revocable Trust dated 6/24/94 Common Stock, No Par Value 2002-09-20 4 G 0 70000 0 A 70000 I Rex C. Bean Trust dated 8/8/02 This amendment is being filed to (i) report a gift of 10,388 shares made on 9/20/02 by the Reporting Person to the Bean Family Revocable Trust dated 6/24/94, (ii) correct the date of the gift of 70,000 shares made on 9/20/02 (not 6/20/02) by the Bean Family Revocable Trust dated 6/24/94 to the Rex C. Bean Trust dated 8/8/02, and (iii) remove the report of 80,000 shares transferred by the Reporting Person to a charitable remainder trust, which actually occurred on 10/22/02, and which is being reported on a separate Form 4 to be filed contemporaneously with this amendment. REX C. BEAN 2011-01-27 -----END PRIVACY-ENHANCED MESSAGE-----