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