FERRAND BRIAN L 4

4 · MERIT MEDICAL SYSTEMS INC · Filed Oct 31, 2003

Form 4

Period: 2003-10-30

Director of Sales

Transactions

Exercise/Conversion
Common Stock, no par value
2003-10-30$2.76/sh+4,167$11,501→ 4,167 total
Exercise/Conversion
Employee stock option (right to buy)
1988-08-08$2.76/sh−18,751$51,753→ 18,751 total
Exercise: $2.76From: 2002-02-12Exp: 2011-02-12→ Common Stock (18,751 underlying)
Exercise/Conversion
Employee stock option (right to buy)
2003-10-30$2.76/sh−4,167$11,501→ 0 total
Exercise: $2.76From: 1999-09-30Exp: 2004-03-31→ Common Stock (4,167 underlying)
Exercise/Conversion
Employee stock option (right to buy)
1988-08-08$10.15/sh−25,000$253,750→ 25,000 total
Exercise: $10.15From: 2002-12-08Exp: 2011-12-08→ Common Stock (25,000 underlying)
Exercise/Conversion
Common Stock, no par value
1988-08-08+15,174→ 15,174 total(indirect: By 401(k))
Exercise/Conversion
Employee stock option (right to buy)
1988-08-08$12.99/sh−26,667$346,404→ 26,667 total
Exercise: $12.99From: 2004-02-06Exp: 2013-02-06→ Common Stock (26,667 underlying)
Exercise/Conversion
Employee stock option (right to buy)
1988-08-08$12.74/sh−13,333$169,862→ 13,333 total
Exercise: $12.74From: 2003-05-23Exp: 2012-05-23→ Common Stock (13,333 underlying)

Footnotes (6)

[F1]Represent plan holdings as of 09/04/03 per most recent plan statement timely distributed
[F2]Become exercisable in equal annual installments of 20% commencing 02/12/02
[F3]Become exercisable in equal annual installments of 20% commencing 12/08/02
[F4]Become exercisable in equal annual installments of 20% commencing 05/23/03
[F5]Become exercisable in equal annual installments of 20% commencing 02/06/04
[F6]Become exercisable in equal annual installments of 20% commencing 09/30/99

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