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Filing Details

Accession Number:: 0001179110-12-014335
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2012-09-20 16:50:37
Reporting Period:: 2012-09-18

Filing Date:: 2012-09-20
Accepted Time:: 2012-09-20 16:50:37
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
856982	Merit Medical Systems Inc	MMSI	Surgical & Medical Instruments & Apparatus (3841)	870447695

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
901534	P Fred Lampropoulos	1600 W Merit Parkway South Jordan UT 84095	President & Ceo	Yes	Yes	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock, No Par Value	Disposition	2012-09-18	33,055	$15.09	1,011,392	No	4	S	Direct
Common Stock, No Par Value	Disposition	2012-09-19	34,670	$15.05	976,722	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Direct
No	4	S	Direct

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock, No Par Value	85,044	Indirect	By 401(k) Plan

Reported Derivative Holdings

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Sec. Name	Sec. Type	Price	Date	Expiration Date	Amount	Remaning Holdings	Nature of Ownership
Common Stock	Non-qualified stock options (right to buy)	$8.38	2003-05-22	2013-05-22	33,334	33,334	Direct
Common Stock	Non-qualified stock options (right to buy)	$17.34	2004-12-13	2013-12-13	35,000	35,000	Direct
Common Stock	Non-qualified stock options (right to buy)	$17.34	2003-12-13	2013-12-13	18,750	18,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$11.05	2004-06-10	2014-06-10	18,750	18,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$11.05	2004-06-10	2014-06-10	15,000	15,000	Direct
Common Stock	Non-qualified stock options (right to buy)	$12.02	2004-12-18	2014-12-18	50,000	50,000	Direct
Common Stock	Non-qualified stock options (right to buy)	$11.41	2005-05-25	2015-05-25	18,750	18,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$14.39	2005-07-15	2015-07-15	93,750	93,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$9.71	2005-12-28	2015-12-28	50,000	50,000	Direct
Common Stock	Non-qualified stock options (right to buy)	$9.22	2007-05-25	2013-05-25	18,750	18,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$9.70	2008-06-27	2014-06-27	50,000	50,000	Direct
Common Stock	Non-qualified stock options (right to buy)	$9.70	2008-06-27	2014-06-27	18,750	18,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$11.53	2009-05-21	2015-05-21	68,750	68,750	Direct
Common Stock	Non-qualified stock options (right to buy)	$13.82	2010-09-26	2016-09-26	25,000	25,000	Direct
Common Stock	Non-qualified stock options (right to buy)	$13.75	2012-08-11	2018-08-11	120,000	120,000	Direct

Expiration Date	Amount	Remaning Holdings	Nature of Ownership
2013-05-22	33,334	33,334	Direct
2013-12-13	35,000	35,000	Direct
2013-12-13	18,750	18,750	Direct
2014-06-10	18,750	18,750	Direct
2014-06-10	15,000	15,000	Direct
2014-12-18	50,000	50,000	Direct
2015-05-25	18,750	18,750	Direct
2015-07-15	93,750	93,750	Direct
2015-12-28	50,000	50,000	Direct
2013-05-25	18,750	18,750	Direct
2014-06-27	50,000	50,000	Direct
2014-06-27	18,750	18,750	Direct
2015-05-21	68,750	68,750	Direct
2016-09-26	25,000	25,000	Direct
2018-08-11	120,000	120,000	Direct

Footnotes

Represents plan holdings as of 9/13/2012.
Becomes exercisable in equal annual installments of 20% commencing 12/13/2004.
Becomes exercisable in equal annual installments of 33.33% commencing 5/25/2007.
Becomes exercisable in equal annual installments of 20% commencing 6/27/2008.
Becomes exercisable in equal annual installments of 20% commencing 5/21/2009.
Becomes exercisable in equal annual installments of 20% commencing 9/26/2010.
Becomes exercisable in equal annual installments of 20% commencing 8/11/2012.
The price reported in the second line of Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.04 to $15.16, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
The price reported in the third line of Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.03 to $15.05, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.