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