0000856982-19-000010.txt : 20190213
0000856982-19-000010.hdr.sgml : 20190213
20190213122336
ACCESSION NUMBER: 0000856982-19-000010
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190213
DATE AS OF CHANGE: 20190213
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STANGER KENT W
CENTRAL INDEX KEY: 0000901531
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 19595399
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
5
1
wf-form5_155007860090520.xml
FORM 5
X0306
5
2018-12-31
0
0
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0000901531
STANGER KENT W
1600 W MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
0
0
0
Common Stock, No Par Value
29524
I
Family Limited Liability Company
Common Stock, No Par Value
42278
I
By 401(k) plan
Common Stock, No Par Value
4271
D
Common Stock, No Par Value
2018-10-29
5
G
0
90
0
D
432665
D
Common Stock, No Par Value
2018-12-28
5
G
0
350
0
D
432315
D
Non-qualified stock options (right to buy)
12.06
2015-10-04
2021-10-04
Common Stock
2000.0
2000
D
Non-qualified stock options (right to buy)
19.72
2017-05-02
2023-05-02
Common Stock
9375.0
9375
D
Non-qualified stock options (right to buy)
18.8
2017-05-26
2023-05-26
Common Stock
25000.0
25000
D
Non-qualified stock options (right to buy)
34.4
2018-05-24
2024-05-24
Common Stock
25000.0
25000
D
Non-qualified stock options (right to buy)
50.5
2019-06-07
2025-06-07
Common Stock
25000.0
25000
D
This report shall not be deemed an admission that the reporting person is the beneficial owner of the securities held by K.W.S. Properties LC.
Represents plan holdings as of 12/31/2018.
Shares acquired under the Company's employee stock purchase plan.
This is a gift.
Becomes exercisable in equal annual installments of 20% commencing on 10/04/2015.
Becomes exercisable in equal annual installments of 20% commencing on 05/02/2017.
Becomes exercisable in equal annual installments of 20% commencing on 05/26/2017.
Becomes exercisable in equal annual installments of 20% commencing on 05/24/2018.
Becomes exercisable in equal annual installments of 20% commencing on 06/07/2019.
Brian G. Lloyd, Attorney-in-Fact
2019-02-13