0001179110-16-032793.txt : 20161212 0001179110-16-032793.hdr.sgml : 20161212 20161212153522 ACCESSION NUMBER: 0001179110-16-032793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161208 FILED AS OF DATE: 20161212 DATE AS OF CHANGE: 20161212 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: 162046232 4 1 edgar.xml FORM 4 - X0306 4 2016-12-08 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 2016-12-08 4 S 0 4000 25.9794 D 422346 D Common Stock, No Par Value 2016-12-09 4 S 0 8000 26.416 D 414346 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 2017-05-02 2023-05-02 Common Stock 9375 9375 D Non-qualified stock options (right to buy) 18.80 2017-05-26 2023-05-26 Common Stock 25000 25000 D Represents plan holdings as of 12/12/2016. Employee stock purchase plan holdings as of 12/12/2016. 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. The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $25.90 to $26.025, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.25 to $26.75, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. 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. Becomes exercisable in equal annual installments of 20% commencing on 05/26/2017. Bernard Birkett, Attorney-in-Fact 2016-12-12