0000856982-19-000111.txt : 20190816 0000856982-19-000111.hdr.sgml : 20190816 20190816191128 ACCESSION NUMBER: 0000856982-19-000111 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190815 FILED AS OF DATE: 20190816 DATE AS OF CHANGE: 20190816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 191034503 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_156599707094808.xml FORM 4 X0306 4 2019-08-15 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 President & CEO Common Stock, No Par Value 94809 I By 401(k) Plan Common Stock, No Par Value 13086 I By spouse. Common Stock, No Par Value 90 I By spouse as custodian for child. Common Stock, No Par Value 2019-08-15 4 S 0 40000 36.862 D 1079991 D Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 5000.0 5000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 7500.0 7500 I Please refer to footnote number four. Non-qualified stock options (right to buy) 28.2 2018-04-14 2029-04-14 Common Stock 200000.0 200000 D Non-qualified stock options (right to buy) 28.2 2018-04-14 2029-04-14 Common Stock 10000.0 10000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 38002.0 38002 D Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 10000.0 10000 I Please refer to footnote number four. Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 159151.0 159151 D Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 10000.0 10000 I Please refer to footnote number four. Represents plan holdings as of 08/14/2019. 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 $36.67 to $37.11, 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 10/04/2015. Becomes exercisable in equal annual installments of 20% commencing 02/13/2016. Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse. Becomes exercisable in equal annual installments of 20% commencing 01/28/2017. Becomes exercisable in equal annual installments of 20% commencing 04/14/2018. Becomes exercisable in equal annual installments of 20% commencing 03/02/2019. Becomes exercisable in equal annual installments of 20% commencing 03/01/2020. Brian G. Lloyd, Attorney-in-Fact 2019-08-16