0001179110-13-009056.txt : 20130524 0001179110-13-009056.hdr.sgml : 20130524 20130524130840 ACCESSION NUMBER: 0001179110-13-009056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130522 FILED AS OF DATE: 20130524 DATE AS OF CHANGE: 20130524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nelson Arlin D CENTRAL INDEX KEY: 0001382939 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 13871173 MAIL ADDRESS: STREET 1: 1600 W. 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 edgar.xml FORM 4 - X0306 4 2013-05-22 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001382939 Nelson Arlin D 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Operating Officer Common Stock, No Par Value 2013-05-22 4 I 0 4218 9.97 A 5146 I By 401 (k) plan Common Stock, No Par Value 300 D Non-qualified Stock Options (right to buy) 17.34 2003-12-13 2013-12-13 Common Stock 4375 4375 D Non-qualified Stock Options (right to buy) 11.05 2004-06-10 2014-06-10 Common Stock 1875 1875 D Non-qualified Stock Options (right to buy) 12.02 2004-12-18 2014-12-18 Common Stock 12500 12500 D Non-qualified Stock Options (right to buy) 9.71 2005-12-28 2015-12-28 Common Stock 12500 12500 D Non-qualified Stock Options (right to buy) 9.70 2008-06-27 2014-06-27 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 31250 31250 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 25000 25000 D Becomes exercisable in equal annual installments of 20% commencing 06/27/08. Becomes exercisable in equal annual installments of 20% commencing 05/21/09. Becomes exercisable in equal annual installments of 20% commencing 08/11/12. The common shares were purchased in a block trade at the direction of the 401(k) plan administrator. Arlin D. Nelson 2013-05-24