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