-----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, PMbSkrLdJpoIL9sbUtac/CL6EL2SFupOmyh29JeySqVJJX1MoeeXJ38myp657upE wBKluvafeTCa1G4Vcl9GeQ== 0001375765-11-000019.txt : 20110127 0001375765-11-000019.hdr.sgml : 20110127 20110127125249 ACCESSION NUMBER: 0001375765-11-000019 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 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: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 11551388 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 5/A 1 primary_doc.xml PRIMARY DOCUMENT X0303 5/A 2009-12-31 2010-02-10 0 0 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 2009-12-09 5 G 0 30000 0 A 44162 I Rex C. Bean Charitable Remainder Trust Common Stock, No Par Value 400 I Bean Family Foundation Common Stock, No Par Value 2009-12-09 5 G 0 30000 0 D 48557 I Rex C. Bean Trust dated 8/8/02 Common Stock, No Par Value 126623 I Bean Family Investments, LLC Common Stock, No Par Value 28119 I Bean Family Revocable Trust dated 6/24/94 This amendment is being filed to change the amounts of securities beneficially owned at the end of the issuer's fiscal year. REX C. BEAN 2011-01-27 -----END PRIVACY-ENHANCED MESSAGE-----