0001104659-20-027400.txt : 20200228 0001104659-20-027400.hdr.sgml : 20200228 20200228213841 ACCESSION NUMBER: 0001104659-20-027400 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200226 FILED AS OF DATE: 20200228 DATE AS OF CHANGE: 20200228 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: 20674006 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 a4.xml 4 X0306 4 2020-02-26 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001643609 Lampropoulos Justin J. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 EXEC. V.P. MKTG & STRATEGY Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 28.2 2018-04-14 2024-04-14 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 30000 30000 D Non-qualified stock options (right to buy) 37.71 2020-02-26 4 A 0 16722 0 A 2021-02-26 2027-02-26 Common Stock 16722 16722 D Performance Share Units 2020-02-26 4 A 0 7955 0 A 2021-03-15 2023-03-15 Common Stock 7955 7955 D 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.. Becomes exercisable in equal annual installments of 25% commencing on 02/26/2021. Each performance share unit represents the Company's commitment to issue one share of Merit Medical Systems, Inc. common stock, subject to achievement of performance criteria. On February 26, 2020, the reporting person was awarded a target number of performance share units ("PSUs") pursuant to a Performance Stock Unit Award Agreement by and between the Reporting Person and the Issuer. The actual number of PSUs to be awarded to the Reporting Person will be based upon the Issuer's free cash flow measured against its 2020 financial plan over one, two and three-year periods ending December 31, 2020, 2021 and 2022, respectively, and subject to the Reporting Person's continued employment with the Issuer and the conditions set forth in the Stock Unit Award Agreement. If earned by the Reporting Person, the PSUs will be awarded not later than March 15 of the year following the Issuer's achievement of the target level of free cash flow, subject to conditions set forth in the Performance Stock Unit Award Agreement. Brian G. Lloyd, Attorney-in-Fact 2020-02-28