0000856982-19-000093.txt : 20190620 0000856982-19-000093.hdr.sgml : 20190620 20190620181136 ACCESSION NUMBER: 0000856982-19-000093 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190619 FILED AS OF DATE: 20190620 DATE AS OF CHANGE: 20190620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lampropoulos Justin J. CENTRAL INDEX KEY: 0001643609 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 19909508 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 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_156106868209036.xml FORM 4 X0306 4 2019-06-19 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001643609 Lampropoulos Justin J. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 EVP GLOBAL SALES, MKTG & STGY Common Stock 2019-06-19 4 M 0 8000 13.14 A 8000 D Common Stock 2019-06-19 4 S 0 8000 60.866 D 0 D Non-qualified stock options (right to buy) 13.14 2019-06-19 4 M 0 8000 0 D 2014-07-31 2020-07-31 Common Stock 8000.0 0 D Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 5000.0 5000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 20000.0 20000 D Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 20000.0 20000 D Non-qualified stock options (right to buy) 28.2 2018-04-14 2024-04-14 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 20000.0 20000 D Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 30000.0 30000 D The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $60.70 to $60.98, inclusive. The Reporting Person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. Becomes exercisable in equal annual installments of 20% commencing on 07/31/2014. Becomes exercisable in equal annual installments of 20% commencing on 10/04/2015. Becomes exercisable in equal annual installments of 20% commencing on 02/13/2016. Becomes exercisable in equal annual installments of 20% commencing on 01/28/2017. Becomes exercisable in equal annual installments of 20% commencing on 04/14/2018. Becomes exercisable in equal annual installments of 20% commencing on 03/02/2019. Becomes exercisable in equal annual installments of 20% commencing on 03/01/2020. Brian G. Lloyd, Attorney-in-Fact 2019-06-20