0001179110-15-012001.txt : 20150812
0001179110-15-012001.hdr.sgml : 20150812
20150812145953
ACCESSION NUMBER: 0001179110-15-012001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150810
FILED AS OF DATE: 20150812
DATE AS OF CHANGE: 20150812
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: LAMPROPOULOS FRED P
CENTRAL INDEX KEY: 0000901534
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 151046692
4
1
edgar.xml
FORM 4 -
X0306
4
2015-08-10
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0000901534
LAMPROPOULOS FRED P
1600 W MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
1
0
0
President & CEO
Common Stock, No Par Value
90759
I
By 401(k) Plan
Common Stock, No Par Value
90
I
By spouse as custodian for child.
Common Stock, No Par Value
11817
I
By spouse.
Common Stock, No Par Value
2015-08-10
4
M
0
50000
9.71
A
1092482
D
Common Stock, No Par Value
2015-08-10
4
F
0
28985
25.64
D
1063497
D
Non-qualified stock options (right to buy)
9.71
2015-08-10
4
M
0
50000
0
D
2005-12-28
2015-12-28
Common Stock
50000
0
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
120000
120000
D
Non-qualified stock options (right to buy)
12.06
2015-10-04
2021-10-04
Common Stock
50000
50000
D
Non-qualified stock options (right to buy)
17.27
2016-02-13
2022-02-13
Common Stock
50000
50000
D
Non-qualified stock options (right to buy)
17.27
2016-02-13
2022-02-13
Common Stock
5000
5000
I
Please refer to footnote number seven.
Represents plan holdings as of 8/11/2015.
Stock options were exercised in a swap transaction with the Company. 28,985 shares of common stock were surrendered for payroll taxes and payment of the option price. No shares were sold in the open market.
Becomes exercisable in equal annual installments of 20% commencing 9/26/2010.
Becomes exercisable in equal annual installments of 20% commencing 8/11/2012.
Becomes exercisable in equal annual installments of 20% commencing 10/4/2015.
Becomes exercisable in equal annual installments of 20% commencing 2/13/2016.
Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse.
Gregory L. Barnett, Attorney-in-Fact
2015-08-12