0000856982-18-000053.txt : 20180611 0000856982-18-000053.hdr.sgml : 20180611 20180611181111 ACCESSION NUMBER: 0000856982-18-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180607 FILED AS OF DATE: 20180611 DATE AS OF CHANGE: 20180611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gunderson Thomas James CENTRAL INDEX KEY: 0001708144 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 18893109 MAIL ADDRESS: STREET 1: 5905 LONG BRAKE TRAIL CITY: EDINA STATE: MN ZIP: 55439 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MERIT MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000856982 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 870447695 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 WEST MERIT PARK WAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 BUSINESS PHONE: 8012531600 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 wf-form4_152875505297666.xml FORM 4 X0306 4 2018-06-07 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001708144 Gunderson Thomas James 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 25000.0 25000 D Common Stock 50.5 2018-06-07 4 A 0 25000 0 A 2019-06-07 2025-06-07 Common Stock 25000.0 25000 D Becomes exercisable in equal annual installments of 20% commencing 05/24/2018. Becomes exercisable in equal annual installments of 20% commencing 06/07/2019. Brian G. Lloyd, Attorney-in-Fact 2018-06-11