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