0000856982-19-000027.txt : 20190305 0000856982-19-000027.hdr.sgml : 20190305 20190305185457 ACCESSION NUMBER: 0000856982-19-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190301 FILED AS OF DATE: 20190305 DATE AS OF CHANGE: 20190305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 19660542 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_155183008371557.xml FORM 4 X0306 4 2019-03-01 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 President & CEO Common Stock, No Par Value 94941 I By 401(k) Plan Common Stock, No Par Value 90 I By spouse as custodian for child. Common Stock, No Par Value 13086 I By spouse. Common Stock, No Par Value 1119991 D Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 5000.0 5000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 7500.0 7500 I Please refer to footnote number four. Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 28.2 2018-04-14 2029-04-14 Common Stock 10000.0 10000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 28.2 2018-04-14 2029-04-14 Common Stock 200000.0 200000 D Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 10000.0 10000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 38002.0 38002 D Non-qualified stock options (right to buy) 55.73 2019-03-01 4 A 0 10000 0 A 2020-03-01 2026-03-01 Common Stock 10000.0 10000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 55.73 2019-03-01 4 A 0 159151 0 A 2020-03-01 2026-03-01 Common Stock 159151.0 159151 D Represents plan holdings as of 3/1/2019. Becomes exercisable in equal annual installments of 20% commencing 10/4/2015. Becomes exercisable in equal annual installments of 20% commencing 2/13/2016. Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse. Becomes exercisable in equal annual installments of 20% commencing 1/28/2017. Becomes exercisable in equal annual installments of 20% commencing 4/14/2018. Becomes exercisable in equal annual installments of 20% commencing 3/2/2019. Becomes exercisable in equal annual installments of 20% commencing 3/1/2020. Brian G. Lloyd, Attorney-in-Fact 2019-03-05