-----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, HuKzZcmPs0KIf7AaypHEETE2rO4R6c3WM1DCIepqdkzLdamyscw0CIMDLrda0+iV Srclp4+Cl2nf73CtDnREUA== 0001375765-11-000003.txt : 20110127 0001375765-11-000003.hdr.sgml : 20110127 20110127091405 ACCESSION NUMBER: 0001375765-11-000003 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021105 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: 11550861 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 2002-11-05 2002-11-06 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 2002-11-05 4 S 0 4100 23.8 D 75900 I Rex C. Bean Charitable Remainder Trust Common Stock, No Par Value 2002-11-06 4 S 0 5500 23.56 D 70400 I Rex C. Bean Charitable Remainder Trust Common Stock, No Par Value 2002-11-06 4 G 0 70000 0 D 10388 I Bean Family Revocable Trust dated 6/24/94 Common Stock, No Par Value 2002-11-06 4 G 0 70000 0 A 140000 I Rex C. Bean Trust dated 8/8/02 This price is a weighted average price. These shares were sold in multiple transactions at prices ranging from $23.70 to $23.91, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (1) and (2) to this Form 4. This price is a weighted average price. These shares were sold in multiple transactions at prices ranging from $23.50 to $23.70, inclusive. This amendment is being filed to (i) remove the report of 60,000 shares transferred by the Reporting Person to the Rex C. Bean Charitable Remainder Trust, which transaction occurred on 11/8/02 not 11/6/02, and which is being reported on a separate Form 4, (ii) provide information that was missing from the original Form 4 relating to the transfer of 70,000 shares from the Bean Family Revocable Trust dated 6/24/94 to the Rex C. Bean Trust dated 8/8/02, and (iii) report certain sales of shares by the Rex C. Bean Charitable Remainder Trust. REX C. BEAN 2011-01-27 -----END PRIVACY-ENHANCED MESSAGE-----