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