0001179110-17-008141.txt : 20170526 0001179110-17-008141.hdr.sgml : 20170526 20170526165017 ACCESSION NUMBER: 0001179110-17-008141 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: EDELMAN RICHARD W CENTRAL INDEX KEY: 0001184931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 17874647 4 1 edgar.xml FORM 4 - X0306 4 2017-05-24 1 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184931 EDELMAN RICHARD W 1600 W. MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 2017-05-24 4 M 0 11621 13.16 A 17621 D Common Stock, No Par Value 2017-05-24 4 S 0 7437 34.50 D 10184 D Common Stock, No Par Value 2017-05-25 4 M 0 13379 13.16 A 23563 D Common Stock, No Par Value 2017-05-25 4 S 0 8563 34.420 D 15000 D Non-qualified stock options (right to buy) 13.16 2017-05-24 4 M 0 11621 0 D 2011-06-25 2017-06-25 Common Stock 11621 13379 D Non-qualified stock options (right to buy) 13.16 2017-05-25 4 M 0 13379 0 D 2011-06-25 2017-06-25 Common Stock 13379 0 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 The Reporting Person ceased to be a director of the Issuer on March 24, 2017. The Reporting Person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 7,437 of such shares to pay the exercise price and taxes and issuing the remaining 4,184 shares to the Reporting Person. The Reporting Person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 8,563 of such shares to pay the exercise price and taxes and issuing the remaining 4,816 shares to the Reporting Person. 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 $34.40 to 34.50, inclusive. The Reporting Person undertakes to provide to Issuer, any security holder of Issuer, 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. Became exercisable in equal annual installments of 20% commencing 06/25/2011. Became exercisable in equal annual installments of 20% commencing 08/11/2012. Became exercisable in equal annual installments of 20% commencing 05/23/2013. Became exercisable in equal annual installments of 20% commencing 05/22/2014. Installments scheduled for vesting after 5/22/2017 will not be exercisable. Became exercisable in equal annual installments of 20% commencing 06/11/2015. Installments scheduled for vesting after 6/11/2017 will not be exercisable. Became exercisable in equal annual installments of 20% commencing 05/22/2016. Installments scheduled for vesting after 5/22/2017 will not be exercisable. Became exercisable in equal annual installments of 20% commencing 05/26/2017. Installments scheduled for vesting after 5/26/2017 will not be exercisable. Brian G. Lloyd, Attorney-in-Fact 2017-05-26