0001179110-16-023812.txt : 20160504 0001179110-16-023812.hdr.sgml : 20160504 20160504192057 ACCESSION NUMBER: 0001179110-16-023812 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160502 FILED AS OF DATE: 20160504 DATE AS OF CHANGE: 20160504 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 161621150 4 1 edgar.xml FORM 4 - X0306 4 2016-05-02 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901531 STANGER KENT W 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 42250 I By 401(k) plan Common Stock, No Par Value 4271 D Common Stock, No Par Value 29524 I Family Limited Liability Company Common Stock, No Par Value 426346 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 64000 64000 D Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 2000 2000 D Non-qualified stock options (right to buy) 19.72 2016-05-02 4 A 0 9375 0 A 2017-05-02 2023-05-02 Common Stock 9375 9375 D Represents plan holdings as of 03/01/2016. Employee stock purchase plan holdings as of 03/01/2016. 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. Becomes exercisable in equal annual installments of 20% commencing on 08/11/2012. Becomes exercisable in equal annual installments of 20% commencing on 10/04/2015. Becomes exercisable in equal annual installments of 20% commencing on 05/02/2017. Kent W. Stanger 2016-05-04