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