0001179110-13-015828.txt : 20131030
0001179110-13-015828.hdr.sgml : 20131030
20131030145946
ACCESSION NUMBER: 0001179110-13-015828
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131028
FILED AS OF DATE: 20131030
DATE AS OF CHANGE: 20131030
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: STILLABOWER MICHAEL E
CENTRAL INDEX KEY: 0001192955
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 131178995
4
1
edgar.xml
FORM 4 -
X0306
4
2013-10-28
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
2013-10-28
4
M
0
13223
9.70
A
41001
D
Common Stock, No Par Value
2013-10-28
4
S
0
13223
16.4089
D
27778
D
Common Stock, No Par Value
2013-10-29
4
M
0
18750
11.05
A
46528
D
Common Stock, No Par Value
2013-10-29
4
M
0
5527
9.70
A
52055
D
Common Stock, No Par Value
2013-10-29
4
S
0
24277
16.4168
D
27778
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
2013-10-29
4
M
0
18750
0
D
2004-06-10
2014-06-10
Common Stock
18750
0
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
2013-10-28
4
M
0
13223
0
D
2008-06-27
2014-06-27
Common Stock
13223
5527
D
Non-qualified stock options (right to buy)
9.70
2013-10-29
4
M
0
5527
0
D
2008-06-27
2014-06-27
Common Stock
5527
0
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
2014-05-22
2020-05-22
Common Stock
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.
Becomes exercisable in equal annual installments of 20% commencing 05/22/2014.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.30 to $16.47, 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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.40 - $16.47, 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.
Greg Barnett, Attorney-in-Fact
2013-10-30