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MERIT MEDICAL SYSTEMS INC Director's Dealing 2012

Sep 21, 2012

31049_dirs_2012-09-21_c7a91bb1-51b0-4055-971d-5a4b64da2ee4.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: MERIT MEDICAL SYSTEMS INC (MMSI)
CIK: 0000856982
Period of Report: 2012-09-19

Reporting Person: BEAN REX C (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2012-09-19 Common Stock, No Par Value M 5977 $8.38 Acquired 5977 Direct
2012-09-19 Common Stock, No Par Value S 5977 $15.11 Disposed 0 Direct
2012-09-20 Common Stock, No Par Value M 26801 $8.38 Acquired 26801 Direct
2012-09-20 Common Stock, No Par Value S 26801 $15.00 Disposed 0 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2012-09-19 Non-qualified stock options (right to buy) $8.38 M 5977 Disposed 2013-05-22 Common Stock (5977) Direct
2012-09-20 Non-qualified stock options (right to buy) $8.38 M 26801 Disposed 2013-05-22 Common Stock (26801) Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock, No Par Value 60696 Indirect
Common Stock, No Par Value 158279 Indirect
Common Stock, No Par Value 500 Indirect
Common Stock, No Par Value 55203 Indirect
Common Stock, No Par Value 35149 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Non-qualified stock options (right to buy) $17.34 2013-12-13 Common Stock (18750) 18750 Direct
Non-qualified stock optons (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.

F7: 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 $15.10 to $15.12, 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.

F8: The price reported in the fourth line of Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.00 to $15.01, 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.