FERRAND BRIAN L 4

4 · MERIT MEDICAL SYSTEMS INC · Filed Nov 18, 2003

Form 4

Period: 2003-11-17

Director of Sales

Transactions

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)
2003-11-14$12.74/sh+2,666$33,965→ 10,667 total
Exercise: $12.74From: 2003-05-23Exp: 2012-05-23→ Common Stock (2,666 underlying)
Sale
Common Stock, no par value
2003-11-14$28.00/sh−5,000$140,000→ 0 total
Exercise/Conversion
Common Stock, no par value
2003-11-14$12.74/sh+2,666$33,972→ 2,666 total
Exercise/Conversion
Common Stock, no par value
1988-08-08+15,174→ 15,174 total(indirect: By 401(k))
Exercise/Conversion
Common Stock, no par value
2003-11-14$10.15/sh+5,000$50,730→ 5,000 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)
2003-11-14$10.15/sh+5,000$50,750→ 20,000 total
Exercise: $10.15From: 2002-12-08Exp: 2011-12-08→ Common Stock (5,000 underlying)

Footnotes (5)

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

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