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MERIT MEDICAL SYSTEMS INC Director's Dealing 2012

Feb 13, 2012

31049_dirs_2012-02-13_21d17e90-4705-414f-9f67-9a1c8797ee48.zip

Director's Dealing

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SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: MERIT MEDICAL SYSTEMS INC (MMSI)
CIK: 0000856982
Period of Report: 2011-12-31

Reporting Person: STANGER KENT W (Director, Chief Financial Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2011-12-20 Common Stock, No Par Value G 2731 Disposed 582089 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock, No Par Value 73709 Indirect
Common Stock, No Par Value 185051 Indirect
Common Stock, No Par Value 4270 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Non-qualified stock options (right to buy) $7.65 2012-05-23 Common Stock (22221) 22221 Direct
Non-qualified stock options (right to buy) $7.79 2013-02-06 Common Stock (44445) 44445 Direct
Non-qualified stock options (right to buy) $8.38 2013-05-22 Common Stock (33334) 33334 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) $17.34 2013-12-13 Common Stock (17500) 17500 Direct
Non-qualified stock options (right to buy) $11.05 2014-06-10 Common Stock (7500) 7500 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) $12.02 2014-12-18 Common Stock (25000) 25000 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) $9.71 2015-12-28 Common Stock (25000) 25000 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 (25000) 25000 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 (43750) 43750 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) $13.75 2018-08-11 Common Stock (80000) 80000 Direct

Footnotes

F1: Represents plan holdings as of 12/31/11.

F2: Employee stock purchase plan as of 12/31/11.

F3: Becomes exercisable in equal annual installments of 20% commmencing 02/06/2004.

F4: Becomes exercisable in equal annual installments of 33.33% commmencing 05/25/2007.

F5: Becomes exercisable in equal annual installments of 20% commmencing 06/27/2008.

F6: Becomes exercisable in equal annual installments of 20% commmencing 05/21/2009.

F7: Becomes exercisable in equal annual installments of 20% commmencing 09/26/2010.

F8: Becomes exercisable in equal annual installments of 20% commmencing 08/11/2012.

F9: Reflects two gifts to two unaffiliated parties.