0000856982-19-000107.txt : 20190806
0000856982-19-000107.hdr.sgml : 20190806
20190806174424
ACCESSION NUMBER: 0000856982-19-000107
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190802
FILED AS OF DATE: 20190806
DATE AS OF CHANGE: 20190806
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STILLABOWER MICHAEL E
CENTRAL INDEX KEY: 0001192955
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 191003296
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_156512784767641.xml
FORM 4
X0306
4
2019-08-02
1
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001192955
STILLABOWER MICHAEL E
1600 W. MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
0
0
0
Common Stock, No Par Value
2019-08-02
4
M
0
25000
9.95
A
78618
D
Common Stock, No Par Value
2019-08-02
4
M
0
25000
13.99
A
103618
D
Common Stock, No Par Value
2019-08-02
4
M
0
20000
20.27
A
123618
D
Common Stock, No Par Value
2019-08-02
4
M
0
15000
18.80
A
138618
D
Common Stock, No Par Value
2019-08-02
4
M
0
10000
34.40
A
148618
D
Common Stock, No Par Value
2019-08-02
4
S
0
40750
40.0516
D
107868
D
Non-qualified stock options (right to buy)
9.95
2019-08-02
4
M
0
25000
0
D
2014-05-22
2020-05-22
Common Stock
25000.0
0
D
Non-qualified stock options (right to buy)
13.99
2019-08-02
4
M
0
25000
0
D
2015-06-11
2021-06-11
Common Stock
25000.0
0
D
Non-qualified stock options (right to buy)
20.27
2019-08-02
4
M
0
20000
0
D
2016-05-22
2022-05-22
Common Stock
20000.0
0
D
Non-qualified stock options (right to buy)
18.8
2019-08-02
4
M
0
15000
0
D
2017-05-26
2023-05-26
Common Stock
15000.0
0
D
Non-qualified stock options (right to buy)
34.4
2019-08-02
4
M
0
10000
0
D
2018-05-24
2024-05-24
Common Stock
10000.0
0
D
Non-qualified stock options (right to buy)
50.5
2019-06-07
2025-06-07
Common Stock
5000.0
5000
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 $40.05 to $40.10, 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 05/22/2014.
Becomes exercisable in equal annual installments of 20% commencing 06/11/2015.
Becomes exercisable in equal annual installments of 20% commencing 05/22/2016.
Unvested stock options were forfeited and cancelled due to the reporting person's resignation as a director of the issuer.
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.
Brian G. Lloyd, Attorney-in-Fact
2019-08-06