0001179110-15-002534.txt : 20150213 0001179110-15-002534.hdr.sgml : 20150213 20150213174731 ACCESSION NUMBER: 0001179110-15-002534 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150213 DATE AS OF CHANGE: 20150213 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: STANGER KENT W CENTRAL INDEX KEY: 0000901531 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 15616657 5 1 edgar.xml FORM 5 - X0306 5 2014-12-31 0 0 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 1 0 0 Chief Financial Officer Common Stock, No Par Value 80366 I By 401(k) plan Common Stock, No Par Value 4271 D Common Stock, No Par Value 29524 I Family Limited Partnership Common Stock, No Par Value 2014-12-18 5 G 0 1320 D 508171 D Common Stock, No Par Value 2014-12-30 5 G 0 585 D 402091 D Non-qualified stock options (right to buy) 11.41 2005-05-25 2015-05-25 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 9.71 2005-12-28 2015-12-28 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 43750 43750 D Non-qualified stock options (right to buy) 13.82 2010-09-26 2016-09-26 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 80000 80000 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 12/31/14. Employee stock purchase plan as of 12/31/14. This report shall not be deemed an admission that the reporting person is the beneficial owner of the securities held by K.W.S. Properties LC. This is a gift. Since the date of the reporting person's last ownership report, he transferred 105,495 shares of common stock and K.W.S. Properties LC transferred 30,477 shares of common stock to the reporting person's ex-wife pursuant to a domestic relations order. The reporting person no longer reports as beneficially owned any securities owned by his ex-wife. Becomes exercisable in equal annual installments of 20% commmencing 05/21/2009. Becomes exercisable in equal annual installments of 20% commmencing 09/26/2010. Becomes exercisable in equal annual installments of 20% commmencing 08/11/2012. Becomes exercisable in equal annual installments of 20% commmencing 10/04/2015. Kent W. Stanger 2015-02-13