0001179110-14-015821.txt : 20141029 0001179110-14-015821.hdr.sgml : 20141029 20141029151551 ACCESSION NUMBER: 0001179110-14-015821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141027 FILED AS OF DATE: 20141029 DATE AS OF CHANGE: 20141029 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: 141179882 4 1 edgar.xml FORM 4 - X0306 4 2014-10-27 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 5882 I By 401(k)plan Common Stock, No Par Value 643 D Common Stock, No Par Value 2014-10-27 4 M 0 12500 12.02 A 21935 D Common Stock, No Par Value 2014-10-27 4 S 0 12500 14.85 D 9435 D Non-qualified stock options (right to buy) 12.02 2014-10-27 4 M 0 12500 0 D 2004-12-18 2014-12-18 Common Stock 12500 0 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) 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 Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 25000 25000 D Represents plan holdings as of 10/27/14. Acquired under the Employee Stock Purchase Plan. The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $14.71 to $14.95, 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. Become exercisable in equal annual installments of 20% commencing 05/21/09. Become exercisable in equal annual installments of 20% commencing 08/11/12. Become exercisable in equal annual installments of 20% commencing 07/31/14. Become exercisable in equal annual installments of 20% commencing 10/04/15. Rashelle Perry 2014-10-29