0001179110-13-015829.txt : 20131030 0001179110-13-015829.hdr.sgml : 20131030 20131030150013 ACCESSION NUMBER: 0001179110-13-015829 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131029 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: PERRY RASHELLE CENTRAL INDEX KEY: 0001184963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 131178997 4 1 edgar.xml FORM 4 - X0306 4 2013-10-29 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184963 PERRY RASHELLE 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Legal Officer Common Stock, No Par Value 4279 I By 401(k)plan Common Stock, No Par Value 643 D Common Stock, No Par Value 2013-10-29 4 M 0 9250 9.70 A 18685 D Common Stock, No Par Value 2013-10-29 4 S 0 9250 16.40 D 9435 D Common Stock, No Par Value 2013-10-30 4 M 0 3250 9.70 A 12685 D Common Stock, No Par Value 2013-10-30 4 M 0 3750 11.05 A 16435 D Common Stock, No Par Value 2013-10-30 4 S 0 7000 16.40 D 9435 D Non-qualified stock options (right to buy) 17.34 2004-12-13 2013-12-13 Common Stock 8750 8750 D Non-qualified stock options (right to buy) 11.05 2013-10-30 4 M 0 3750 0 D 2004-06-10 2014-06-10 Common Stock 3750 0 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 2013-10-29 4 M 0 9250 0 D 2008-06-27 2014-06-27 Common Stock 9250 3250 D Non-qualified stock options (right to buy) 9.70 2013-10-30 4 M 0 3250 0 D 2008-06-27 2014-06-27 Common Stock 3250 0 D Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 40000 40000 D Non-qualified stock options (right to buy) 13.14 2014-07-31 2020-07-31 Common Stock 10000 10000 D Acquired under the Employee Stock Purchase Plan. Become exercisable in equal annual installments of 20% commencing 12/13/04. Become exercisable in equal annual installments of 20% commencing 06/27/08. Become exercisable in equal annual installments of 20% commencing 05/21/09. Represents plan holdings as of 10/29/13. Become exercisable in equal annual installments of 20% commencing 08/11/12. Become exercisable in equal annual installments of 20% commencing 07/31/14. Rashelle Perry 2013-10-30