MERIT MEDICAL SYSTEMS INC — Director's Dealing 2012

Nov 6, 2012

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: MERIT MEDICAL SYSTEMS INC (MMSI)
CIK: 0000856982
Period of Report: 2012-11-01

Reporting Person: BEAN REX C (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2012-11-01	Common Stock, No Par Value	G	14000	—	Disposed	46696	Indirect
2012-11-01	Common Stock, No Par Value	G	14000	—	Acquired	69203	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock, No Par Value	158279	Indirect
Common Stock, No Par Value	500	Indirect
Common Stock, No Par Value	35149	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Non-qualified stock options (right to buy)	$8.38	2013-05-22	Common Stock (5977)	26801	Direct
Non-qualified stock options (right to buy)	$17.34	2013-12-13	Common Stock (18750)	18750	Direct
Non-qualified stock options (right to buy)	$11.05	2014-06-10	Common Stock (18750)	18750	Direct
Non-qualified stock options (right to buy)	$11.41	2015-05-25	Common Stock (18750)	18750	Direct
Non-qualified stock options (right to buy)	$9.22	2013-05-25	Common Stock (18750)	18750	Direct
Non-qualified stock options (right to buy)	$9.70	2014-06-27	Common Stock (18750)	18750	Direct
Non-qualified stock options (right to buy)	$11.53	2015-05-21	Common Stock (18750)	18750	Direct
Non-qualified stock options (right to buy)	$13.82	2016-09-26	Common Stock (25000)	25000	Direct
Non-qualified stock options (right to buy)	$13.16	2017-06-25	Common Stock (25000)	25000	Direct
Non-qualified stock options (right to buy)	$13.75	2018-08-11	Common Stock (20000)	20000	Direct
Non-qualified stock options (right to buy)	$12.91	2019-05-23	Common Stock (20000)	20000	Direct

Footnotes

F1: Becomes exercisable in equal annual installments of 20% commencing 06/27/2008.

F2: Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.

F3: Becomes exercisable in equal annual installments of 20% commencing 09/26/2010.

F4: Becomes exercisable in equal annual installments of 20% commencing 06/25/2011.

F5: Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.

F6: Becomes exercisable in equal annual installments of 20% commencing 05/23/2013.