0000856982-19-000084.txt : 20190604 0000856982-19-000084.hdr.sgml : 20190604 20190604163742 ACCESSION NUMBER: 0000856982-19-000084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190531 FILED AS OF DATE: 20190604 DATE AS OF CHANGE: 20190604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 19877090 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_155968064575616.xml FORM 4 X0306 4 2019-05-31 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 4271 D Common Stock, No Par Value 42278 I By 401(k) plan Common Stock, No Par Value 29524 I Family Limited Liability Company Common Stock, No Par Value 415087 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 Non-qualified stock options (right to buy) 52.17 2020-05-24 2026-05-24 Common Stock 13750.0 13750 D Non-qualified stock options (right to buy) 52.17 2019-05-31 4 A 0 7500 0 A 2020-05-31 2026-05-31 Common Stock 7500.0 7500 D Employee stock purchase plan holdings as of 05/31/2019. Represents plan holdings as of 05/31/2019. 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. 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. Becomes exercisable in equal annual installments of 33% commencing on 05/24/2020. Becomes exercisable in equal annual installments of 33% commencing on 05/31/2020. Brian G. Lloyd, Attorney-in-Fact 2019-06-04