0001179110-14-018664.txt : 20141223
0001179110-14-018664.hdr.sgml : 20141223
20141223143856
ACCESSION NUMBER: 0001179110-14-018664
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141222
FILED AS OF DATE: 20141223
DATE AS OF CHANGE: 20141223
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: 141306300
MAIL ADDRESS:
STREET 1: 1600 W MERIT PARKWAY
CITY: SOUTH JORDAN
STATE: UT
ZIP: 84095
4
1
edgar.xml
FORM 4 -
X0306
4
2014-12-22
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
18538
I
By 401(k) Plan
Common Stock, No Par Value
2014-12-22
4
M
0
14999
11.53
A
14999
D
Common Stock, No Par Value
2014-12-22
4
S
0
14999
16.753
D
0
D
Non-qualified stock options (right to buy)
11.53
2014-12-22
4
M
0
14999
0
D
2009-05-21
2015-05-21
Common Stock
14999
0
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)
12.06
2015-10-04
2021-10-04
Common Stock
10000
10000
D
Represents plan holdings as of 12/22/2014.
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 $16.750 to $16.795, 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.
Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
Becomes exercisable in equal annual installments of 20% commencing 10/04/2015.
Martin R. Stephens
2014-12-23