0001179110-17-008137.txt : 20170526 0001179110-17-008137.hdr.sgml : 20170526 20170526164725 ACCESSION NUMBER: 0001179110-17-008137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170524 FILED AS OF DATE: 20170526 DATE AS OF CHANGE: 20170526 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: STILLABOWER MICHAEL E CENTRAL INDEX KEY: 0001192955 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 17874624 4 1 edgar.xml FORM 4 - X0306 4 2017-05-24 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001192955 STILLABOWER MICHAEL E 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 35668 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 12.91 2013-05-23 2019-05-23 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 9.95 2014-05-22 2020-05-22 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.99 2015-06-11 2021-06-11 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 20.27 2016-05-22 2022-05-22 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 18.80 2017-05-26 2023-05-26 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 34.40 2017-05-24 4 A 0 25000 0 A 2018-05-24 2024-05-24 Common Stock 25000 25000 D Becomes exercisable in equal annual installments of 20% commencing 08/11/2012. Becomes exercisable in equal annual installments of 20% commencing 05/23/2013. Becomes exercisable in equal annual installments of 20% commencing 05/22/2014. Becomes exercisable in equal annual installments of 20% commencing 06/11/2015. Becomes exercisable in equal annual installments of 20% commencing 05/22/2016. Becomes exercisable in equal annual installments of 20% commencing 05/26/2017. Becomes exercisable in equal annual installments of 20% commencing 05/24/2018. Brian G. Lloyd, Attorney-in-Fact 2017-05-26