0001179110-14-018757.txt : 20141229
0001179110-14-018757.hdr.sgml : 20141225
20141229185714
ACCESSION NUMBER: 0001179110-14-018757
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141224
FILED AS OF DATE: 20141229
DATE AS OF CHANGE: 20141229
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: ANDERSON A SCOTT
CENTRAL INDEX KEY: 0001184825
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 141313779
MAIL ADDRESS:
STREET 1: ONE SOUTH MAIN, SUITE 1134
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84111
4
1
edgar.xml
FORM 4 -
X0306
4
2014-12-24
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001184825
ANDERSON A SCOTT
1600 WEST MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
0
0
0
Common Stock, No Par Value
2014-12-24
4
M
0
8000
12.91
A
8000
D
Common Stock, No Par Value
2014-12-24
4
M
0
5000
9.95
A
13000
D
Common Stock, No Par Value
2014-12-24
4
S
0
12000
17.03
D
1000
D
Non-qualified stock options (right to buy)
12.91
2014-12-24
4
M
0
8000
0
D
2013-05-23
2019-05-23
Common Stock
8000
12000
D
Non-qualified stock options (right to buy)
9.95
2014-12-24
4
M
0
5000
0
D
2014-05-22
2020-05-22
Common Stock
5000
20000
D
Non-qualified stock options (right to buy)
13.99
2015-06-11
2021-06-11
Common Stock
25000
25000
D
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 $16.71 to $17.05, 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 05/23/2013.
Becomes exercisable in equal annual installments of 20% commencing 05/22/2014.
Becomes exercisable in equal annual installments of 20% commencing 06/11/2015.
Greg Barnett, Attorney-in-Fact
2014-12-29