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