0001179110-13-015800.txt : 20131029 0001179110-13-015800.hdr.sgml : 20131029 20131029143621 ACCESSION NUMBER: 0001179110-13-015800 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131025 FILED AS OF DATE: 20131029 DATE AS OF CHANGE: 20131029 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stephens Martin R CENTRAL INDEX KEY: 0001310727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 131175906 MAIL ADDRESS: STREET 1: 1600 W MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0306 4 2013-10-25 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001310727 Stephens Martin R 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Executive V.P. of Sales Common Stock, No Par Value 16397 I By 401(k) Plan Common Stock, No Par Value 2013-10-25 4 M 0 25000 12.02 A 25000 D Common Stock, No Par Value 2013-10-25 4 M 0 7500 9.70 A 32500 D Common Stock, No Par Value 2013-10-25 4 S 0 32500 16.6411 D 0 D Non-qualified stock options (right to buy) 12.02 2013-10-25 4 M 0 25000 0 D 2004-12-18 2014-12-18 Common Stock 25000 0 D Non-qualified stock options (right to buy) 9.70 2013-10-25 4 M 0 7500 0 D 2008-06-27 2014-06-27 Common Stock 7500 0 D Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 14999 14999 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 20000 20000 D Represents plan holdings as of 10/25/2013. 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 08/11/2012. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.60 to $16.69, 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. Gregory L. Barnett, Attorney-in-Fact 2013-10-29