-----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, OAsH4FOG6XEcEswopx4NzmWkyEn6FFsrWdFneFvq6VTKVO30Vhu7ipdTAn2Lx8TL 7TYwR+Abc9jwtYfydK7YGQ== 0000931731-98-000042.txt : 19980218 0000931731-98-000042.hdr.sgml : 19980218 ACCESSION NUMBER: 0000931731-98-000042 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19980213 SROS: NASD SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-45861 FILM NUMBER: 98538383 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 870447694 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1600 W MARIT PARKWAY CITY: SO JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 84095-1688 SC 13G 1 OMB APPROVAL ------------------------------ OMB Number 3235-0145 Expires: December 31, 1997 Estimated average burden hours per response.......14.90 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 7 )* Merit Medical Systems, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, No Par Value - -------------------------------------------------------------------------------- (Title of Class of Securities) 589889-10-4 ---------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 5 Pages CUSIP No. 589889-10-4 Page 2 of 5 Pages 13G - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Fred P. Lampropoulos - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| (b) |_| - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER 574,898 NUMBER OF ------------------------------------------------------------ SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY None EACH ------------------------------------------------------------ REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH 574,898 ------------------------------------------------------------ 8 SHARED DISPOSITIVE POWER None - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 574,898 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.8% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! CUSIP No. 589889-10-4 Page 3 of 5 Pages 13G Item 1. (a) Name of Issuer: Merit Medical Systems, Inc. (b) Address of Issuer's Principal Executive Offices: 1600 West Merit Parkway, South Jordan, Utah 84095 Item 2. (a) Name of Person Filing: Fred P. Lampropoulos (the "Reporting Person") (b) Address of Principal Business Office or, if none, Residence: 1600 West Merit Parkway, South Jordan, Utah 84095 (c) Citizenship: United States (d) Title of Class of Securities: Common Stock, no par value (the "Common Stock") (e) CUSIP Number: 589889-10-4 Item 3. This statement is not filed pursuant to Rule 13d-1(b) or 13d-2(b). Item 4. Ownership (a) Amount Beneficially Owned: As of December 31, 1997 the Reporting Person was the owner of 574,898 shares of the Common Stock, which included 10,821 shares owned by the Reporting Person pursuant to the Issuer's 401(k) Plan, based upon the most recent plan statement timely distributed, and 36,500 shares that the Reporting Person had the right to acquire pursuant to currently exercisable options. (b) Percent of Class: 7.8% (c) Number of shares as to which the Reporting Person has: (i) sole power to vote or to direct the vote: 574,898 (ii) shared power to vote or to direct the vote: None (iii) sole power to dispose or to direct the disposition of: 574,898 (iv) shared power to dispose or to direct the disposition of: None CUSIP No. 589889-10-4 Page 4 of 5 Pages 13G Item 5. Ownership of Five Percent or Less of a Class This statement is not being filed to report the fact that as of the date hereof the Reporting Person has ceased to be the beneficial owner of more than five percent of the class of securities. Item 6. Ownership of More than Five Percent on Behalf of Another Person Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company Not applicable. Item 8. Identification and Classification of Members of the Group Not applicable. Item 9. Notice of Dissolution of Group Not applicable. Item 10. Certification Not applicable. CUSIP No. 589889-10-4 Page 5 of 5 Pages 13G SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. DATED: February 13, 1998 FRED P. LAMPROPOULOS By /s/ KENT W. STANGER ----------------------------------- Kent W. Stanger, Attorney-in-Fact, pursuant to a Power of Attorney dated February 8, 1996, a manually signed copy of which is filed herewith and incorporated herein by this reference EX-24 2 POWER OF ATTORNEY MERIT MEDICAL SYSTEMS, INC. POWER OF ATTORNEY For Executing Schedule 13G and Schedule 13D Know all by these presents, that the undersigned hereby constitutes and appoints Kent W. Stanger his true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned Schedules 13G and 13D (including any amendments thereto) which may be required to be filed in accordance with Sections 13(d) and 13(g) of the Securities Exchange Act of 1934 and the rules thereunder as a result of the undersigned's ownership of or transactions in securities of Merit Medical Systems, Inc.; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete the execution of any such Schedule 13G or 13D and the timely filing of such form with the United States Securities and Exchange Commission and any other authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in his discretion. The undersigned hereby grants to such attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, is not assuming any of the undersigned's responsibilities to comply with Section 13 of the Securities Exchange Act of 1934. Photographic copies of this Power of Attorney shall have the same force and effect as the original. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 8th day of February, 1996. /s/ FRED P. LAMPROPOULOS --------------------------------- Signature Fred P. Lampropoulos --------------------------------- Print Name -----END PRIVACY-ENHANCED MESSAGE-----