0001179110-17-001436.txt : 20170201
0001179110-17-001436.hdr.sgml : 20170201
20170201155105
ACCESSION NUMBER: 0001179110-17-001436
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170201
DATE AS OF CHANGE: 20170201
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: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 17564854
5
1
edgar.xml
FORM 5 -
X0306
5
2016-12-31
0
0
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 Partnership
Common Stock, No Par Value
2016-12-30
5
G
0
2812
D
411534
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 12/31/16.
Employee stock purchase plan as of 12/31/16.
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.
This is a gift.
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.
Kent W. Stanger
2017-02-01