0001179110-17-006053.txt : 20170418
0001179110-17-006053.hdr.sgml : 20170418
20170418191702
ACCESSION NUMBER: 0001179110-17-006053
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170414
FILED AS OF DATE: 20170418
DATE AS OF CHANGE: 20170418
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: LAMPROPOULOS FRED P
CENTRAL INDEX KEY: 0000901534
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 17767898
4
1
edgar.xml
FORM 4 -
X0306
4
2017-04-14
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0000901534
LAMPROPOULOS FRED P
1600 W MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
1
0
0
President & CEO
Common Stock, No Par Value
93457
I
By 401(k) Plan
Common Stock, No Par Value
90
I
By spouse as custodian for child.
Common Stock, No Par Value
11817
I
By spouse.
Common Stock, No Par Value
1070869
D
Non-qualified stock options (right to buy)
13.75
2012-08-11
2018-08-11
Common Stock
120000
120000
D
Non-qualified stock options (right to buy)
12.06
2015-10-04
2021-10-04
Common Stock
50000
50000
D
Non-qualified stock options (right to buy)
17.27
2016-02-13
2022-02-13
Common Stock
50000
50000
D
Non-qualified stock options (right to buy)
17.27
2016-02-13
2022-02-13
Common Stock
5000
5000
I
Please refer to footnote number five.
Non-qualified stock options (right to buy)
16.05
2017-01-28
2023-01-28
Common Stock
50000
50000
D
Non-qualified stock options (right to buy)
16.05
2017-01-28
2023-01-28
Common Stock
7500
7500
I
Please refer to footnote number five.
Non-qualified stock options (right to buy)
28.20
2017-04-14
4
A
0
200000
0
A
2018-04-14
2029-04-14
Common Stock
200000
200000
D
Non-qualified stock options (right to buy)
28.20
2017-04-14
4
A
0
10000
0
A
2018-04-14
2029-04-14
Common Stock
10000
10000
I
Please refer to footnote number five.
Represents plan holdings as of 4/14/2017.
Becomes exercisable in equal annual installments of 20% commencing 8/11/2012.
Becomes exercisable in equal annual installments of 20% commencing 10/4/2015.
Becomes exercisable in equal annual installments of 20% commencing 2/13/2016.
Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse.
Becomes exercisable in equal annual installments of 20% commencing 1/28/2017.
Becomes exercisable in equal annual installments of 20% commencing 4/14/2018.
Brian G. Lloyd, Attorney-in-Fact
2017-04-18