0000856982-19-000085.txt : 20190604 0000856982-19-000085.hdr.sgml : 20190604 20190604163911 ACCESSION NUMBER: 0000856982-19-000085 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: Gunderson Thomas James CENTRAL INDEX KEY: 0001708144 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 19877112 MAIL ADDRESS: STREET 1: 5905 LONG BRAKE TRAIL CITY: EDINA STATE: MN ZIP: 55439 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_155968073635572.xml FORM 4 X0306 4 2019-05-31 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001708144 Gunderson Thomas James 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 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 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. Becomes exercisable in equal annual installments of 33% commencing 05/31/2020. Brian G. Lloyd, Attorney-in-Fact 2019-06-04