0001179110-13-008991.txt : 20130523
0001179110-13-008991.hdr.sgml : 20130523
20130523174935
ACCESSION NUMBER: 0001179110-13-008991
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130521
FILED AS OF DATE: 20130523
DATE AS OF CHANGE: 20130523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEAN REX C
CENTRAL INDEX KEY: 0001184930
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 13869587
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 -
X0306
4
2013-05-21
1
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001184930
BEAN REX C
1600 W MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
0
0
0
Common Stock, No Par Value
46696
I
Rex C. Bean Trust dated 8/8/02
Common Stock, No Par Value
158279
I
Bean Family Investments, LLC
Common Stock, No Par Value
500
I
Bean Family Foundation
Common Stock, No Par Value
69203
I
Rex C. Bean Charitable Remainder Trust
Common Stock, No Par Value
35149
I
Bean Family Revocable Trust dated 6/24/94
Common Stock, No Par Value
2013-05-21
4
M
0
8500
9.22
A
8500
D
Common Stock, No Par Value
2013-05-21
4
S
0
8500
10.08
D
0
D
Common Stock, No Par Value
2013-05-22
4
M
0
4500
9.22
A
4500
D
Common Stock, No Par Value
2013-05-22
4
S
0
4500
10.095
D
0
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)
9.70
2008-06-27
2014-06-27
Common Stock
18750
18750
D
Non-qualified stock options (right to buy)
9.22
2013-05-21
4
M
0
8500
0
D
2006-05-25
2013-05-25
Common Stock
8500
10250
D
Non-qualified stock options (right to buy)
9.22
2013-05-22
4
M
0
4500
0
D
2006-05-25
2013-05-25
Common Stock
4500
5750
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
Non-qualified stock options (right to buy)
12.91
2013-05-23
2019-05-23
Common Stock
20000
20000
D
Non-qualified stock options (right to buy)
9.95
2013-05-22
4
A
0
25000
0
A
2014-05-22
2020-05-22
CommonStock
25000
25000
D
Becomes exercisable in equal annual installments of 20% commencing 06/27/2008.
Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
Becomes exercisable in equal annual installments of 20% commencing 09/26/2010.
Becomes exercisable in equal annual installments of 20% commencing 06/25/2011.
Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
Becomes exercisable in equal annual installments of 20% commencing 05/23/2013.
The price reported in the second line of Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $10.08 to $10.11, 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 05/22/2014.
Gregory L. Barnett, Attorney-in-Fact
2013-05-23