SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
STANGER KENT W

(Last) (First) (Middle)
1600 W. MERIT PARKWAY

(Street)
SOUTH JORDAN UT 84095

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MERIT MEDICAL SYSTEMS INC [ MMSI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/04/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, No Par Value 57,681 I By 401(k) plan(1)
Common Stock, No Par Value 148,041 I Family Limited Partnership
Common Stock, No Par Value 3,416(2) D
Common Stock, No Par Value 02/04/2011 M 38,027 A $2.07 450,167 D
Common Stock, No Par Value 02/04/2011 S 15,870 D $14.64 434,297 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-qualified stock options (right to buy) $2.07 02/04/2011 M 38,027 02/12/2002(3) 02/12/2011 Common Stock 38,027 $0 0 D
Non-qualified stock options (right to buy) $2.85 05/23/2001 05/23/2011 Common Stock 27,777 27,777 D
Non-qualified stock options (right to buy) $7.61 12/08/2002(4) 12/08/2011 Common Stock 44,444 44,444 D
Non-qualified stock options (right to buy) $9.56 05/23/2002 05/23/2012 Common Stock 17,777 17,777 D
Non-qualified stock options (right to buy) $9.74 02/06/2004(5) 02/06/2013 Common Stock 35,556 35,556 D
Non-qualified stock options (right to buy) $10.47 05/22/2003 05/22/2013 Common Stock 26,667 26,667 D
Non-qualified stock options (right to buy) $21.67 12/13/2003 12/13/2013 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $21.67 12/13/2004 12/13/2013 Common Stock 14,000 14,000 D
Non-qualified stock options (right to buy) $13.81 06/10/2004 06/10/2014 Common Stock 6,000 6,000 D
Non-qualified stock options (right to buy) $13.81 06/10/2004 06/10/2014 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $15.03 12/18/2004 12/18/2014 Common Stock 20,000 20,000 D
Non-qualified stock options (right to buy) $14.26 05/25/2005 05/25/2015 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $12.14 12/28/2005 12/28/2015 Common Stock 20,000 20,000 D
Non-qualified stock options (right to buy) $11.52 05/25/2007(6) 05/25/2013 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $12.13 06/27/2008(7) 06/27/2014 Common Stock 20,000 20,000 D
Non-qualified stock options (right to buy) $12.13 06/27/2008(7) 06/27/2014 Common Stock 15,000 15,000 D
Non-qualified stock options (right to buy) $14.41 05/21/2009(8) 05/21/2015 Common Stock 35,000 35,000 D
Non-qualified stock options (right to buy) $17.28 09/26/2010(9) 09/26/2016 Common Stock 20,000 20,000 D
Explanation of Responses:
1. Represents plan holdings as of 12/31/2010.
2. Employee stock purchase plan as of 12/31/2010.
3. Became exercisable in equal annual installments of 20% commencing 2/12/2002.
4. Became exercisable in equal annual installments of 20% commencing 12/8/2002.
5. Became exercisable in equal annual installments of 20% commencing 2/6/2004.
6. Became exercisable in equal annual installments of 33.33% commencing 5/25/2007.
7. Became exercisable in equal annual installments of 20% commencing 6/27/2008.
8. Became exercisable in equal annual intallments of 20% commencing 5/21/2009.
9. Became exercisable in equal annual installments of 20% commencing 9/26/2010.
KENT W. STANGER 02/11/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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