0000856982-19-000065.txt : 20190529 0000856982-19-000065.hdr.sgml : 20190529 20190529190606 ACCESSION NUMBER: 0000856982-19-000065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190524 FILED AS OF DATE: 20190529 DATE AS OF CHANGE: 20190529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Millner F. Ann CENTRAL INDEX KEY: 0001649014 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 19863824 MAIL ADDRESS: STREET 1: 4275 SPRING ROAD CITY: OGDEN STATE: UT ZIP: 84403 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_155917115138478.xml FORM 4 X0306 4 2019-05-24 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001649014 Millner F. Ann 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 8298 D Non-qualified stock options (right to buy) 21.98 2016-07-16 2022-07-16 Common Stock 8492.0 8492 D Non-qualified stock options (right to buy) 18.8 2017-05-26 2023-05-26 Common Stock 15000.0 15000 D Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 20000.0 20000 D Non-qualified stock options (right to buy) 50.5 2019-06-07 2025-06-07 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 52.17 2019-05-24 4 A 0 13750 0 A 2020-05-24 2026-05-24 Common Stock 13750.0 13750 D Becomes exercisable in equal annual installments of 20% commencing 07/16/2016. Becomes exercisable in equal annual installments of 20% commencing 05/26/2017. Becomes exercisable in equal annual installments of 20% commencing 05/24/2018. Becomes exercisable in equal annual installments of 20% commencing 06/07/2019. Becomes exercisable in equal annual installments of 33% commencing 05/24/2020. Brian G. Lloyd, Attorney-in-Fact 2019-05-29