0001179110-16-023813.txt : 20160504 0001179110-16-023813.hdr.sgml : 20160504 20160504192136 ACCESSION NUMBER: 0001179110-16-023813 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: Lloyd Brian G. CENTRAL INDEX KEY: 0001671772 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 161621153 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0306 4 2016-05-02 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001671772 Lloyd Brian G. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Legal Officer, Secretary Non-qualified stock options (right to buy) 19.72 2016-05-02 4 A 0 25000 0 A 2017-05-02 2023-05-02 Common Stock 25000 25000 D Becomes exercisable in equal annual installments of 20% commencing on 05/02/2017. Brian G. Lloyd 2016-05-04