0000856982-19-000121.txt : 20190828 0000856982-19-000121.hdr.sgml : 20190828 20190828195900 ACCESSION NUMBER: 0000856982-19-000121 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190828 FILED AS OF DATE: 20190828 DATE AS OF CHANGE: 20190828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ward Lynne CENTRAL INDEX KEY: 0001786127 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 191063383 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_156703672359435.xml FORM 4 X0306 4 2019-08-28 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001786127 Ward Lynne 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Non-qualified stock options (right to buy) 34.46 2019-08-28 4 A 0 22300 0 A 2020-08-28 2026-08-28 Common Stock 22300.0 22300 D Becomes exercisable in equal annual installments of 33% commencing 08/28/2020. Brian G. Lloyd, Attorney-in-Fact 2019-08-28