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