0001179110-15-015584.txt : 20151202 0001179110-15-015584.hdr.sgml : 20151202 20151202162915 ACCESSION NUMBER: 0001179110-15-015584 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151130 FILED AS OF DATE: 20151202 DATE AS OF CHANGE: 20151202 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: Birkett Bernard CENTRAL INDEX KEY: 0001658001 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 151265069 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0306 4 2015-11-30 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001658001 Birkett Bernard 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Financial Officer Common Stock, No Par Value 2015-11-30 4 M 0 3750 9.71 A 4825 D Common Stock, No Par Value 2015-11-30 4 S 0 3750 19.31 D 1075 D Non-qualified stock options (right to buy) 9.71 2015-11-30 4 M 0 3750 9.71 D 2005-12-28 2015-12-28 Common Stock 3750 0 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 25000 25000 D Becomes exercisable in equal annual installments of 20% commencing 08/11/12. Becomes exercisable in equal annual installments of 20% commencing 10/04/15. Becomes exercisable in equal annual installments of 20% commencing 02/13/16. Bernard Birkett 2015-12-02