SEC Form 5

FORM 5		UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940	OMB APPROVAL OMB Number: 3235-0362 Estimated average burden hours per response: 1.0
	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
	Form 3 Holdings Reported.
	Form 4 Transactions Reported.

1. Name and Address of Reporting Person* STANGER KENT W (Last) (First) (Middle) 1600 W MERIT PARKWAY (Street) SOUTH JORDAN UT 84095 (City) (State) (Zip)	2. Issuer Name and Ticker or Trading Symbol MERIT MEDICAL SYSTEMS INC [ MMSI ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner X Officer (give title below) Other (specify below) Chief Financial Officer
	3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/31/2012
	4. If Amendment, Date of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
				Amount	(A) or (D)	Price
Common Stock, No Par Value							76,303	I	By 401(k) plan(1)
Common Stock, No Par Value							185,051	I	Family Limited Partnership
Common Stock, No Par Value							4,271(2)	D
Common Stock, No Par Value	12/21/2012		G	2,631(7)	D	$0	610,936	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)	5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
					(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Non-qualified stock options (right to buy)	$17.34						12/13/2003	12/13/2013	Common Stock	18,750		18,750	D
Non-qualified stock options (right to buy)	$17.34						12/13/2004	12/13/2013	Common Stock	17,500		17,500	D
Non-qualified stock options (right to buy)	$11.05						06/10/2004	06/10/2014	Common Stock	7,500		7,500	D
Non-qualified stock options (right to buy)	$11.05						06/10/2004	06/10/2014	Common Stock	18,750		18,750	D
Non-qualified stock options (right to buy)	$12.02						12/18/2004	12/18/2014	Common Stock	25,000		25,000	D
Non-qualified stock options (right to buy)	$11.41						05/25/2005	05/25/2015	Common Stock	18,750		18,750	D
Non-qualified stock options (right to buy)	$9.71						12/28/2005	12/28/2015	Common Stock	25,000		25,000	D
Non-qualified stock options (right to buy)	$9.7						06/27/2008(3)	06/27/2014	Common Stock	25,000		25,000	D
Non-qualified stock options (right to buy)	$9.7						06/27/2008(3)	06/27/2014	Common Stock	18,750		18,750	D
Non-qualified stock options (right to buy)	$11.53						05/21/2009(4)	05/21/2015	Common Stock	43,750		43,750	D
Non-qualified stock options (right to buy)	$13.82						09/26/2010(5)	09/26/2016	Common Stock	25,000		25,000	D
Non-qualified stock options (right to buy)	$13.75						08/11/2012(6)	08/11/2018	Common Stock	80,000		80,000	D

Explanation of Responses:

1. Represents plan holdings as of 12/31/12.

2. Employee stock purchase plan as of 12/31/12.

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

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

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

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

7. Reflects two gifts to two unaffiliated parties.

	Kent W. Stanger	01/30/2013
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.