0001179110-11-016667.txt : 20111215
0001179110-11-016667.hdr.sgml : 20111215
20111215151141
ACCESSION NUMBER: 0001179110-11-016667
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111213
FILED AS OF DATE: 20111215
DATE AS OF CHANGE: 20111215
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: 111263282
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
edgar.xml
FORM 4 -
X0304
4
2011-12-13
0
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
2011-12-13
4
M
0
1082
7.65
A
28860
D
Common Stock, No Par Value
2011-12-13
4
S
0
1082
13.65
D
27778
D
Non-qualified stock options (right to buy)
7.65
2011-12-13
4
M
0
1082
0
D
2002-05-23
2012-05-23
Common Stock
1082
1926
D
Non-qualified stock options (right to buy)
8.38
2003-05-22
2013-05-22
Common Stock
33334
33334
D
Non-qualified stock options (right to buy)
17.34
2003-12-13
2013-12-13
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
11.05
2004-06-10
2014-06-10
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
11.41
2005-05-25
2015-05-25
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
9.22
2006-05-25
2013-05-25
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
9.70
2008-06-27
2014-06-27
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
11.53
2009-05-21
2015-05-21
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
13.82
2010-09-26
2016-09-26
Common Stock
25000
25000
D
Non-qualified stock options (right to buy)
13.16
2011-06-25
2017-06-25
Common Stock
25000
25000
D
Non-qualified stock options (right to buy)
13.75
2012-08-11
2018-08-11
Common Stock
20000
20000
D
Become exercisable in equal annual installments of 20% commencing 06/27/2008.
Become exercisable in equal annual installments of 20% commencing 05/21/2009.
Become exercisable in equal annual installments of 20% commencing 09/26/2010.
Become exercisable in equal annual installments of 20% commencing 06/25/2011.
Become exercisable in equal annual installments of 20% commencing 08/11/2012.
These shares were sold in multiple transactions for the same share price of $13.65. 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 footnote.
Greg Barnett, Attorney-in-Fact
2011-12-15