0001179110-17-009755.txt : 20170629 0001179110-17-009755.hdr.sgml : 20170629 20170629122651 ACCESSION NUMBER: 0001179110-17-009755 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170627 FILED AS OF DATE: 20170629 DATE AS OF CHANGE: 20170629 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: Karras Nolan E. CENTRAL INDEX KEY: 0001534914 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 17937503 MAIL ADDRESS: STREET 1: 4695 SOUTH 1900 WEST CITY: ROY STATE: UT ZIP: 84067 4 1 edgar.xml FORM 4 - X0306 4 2017-06-27 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001534914 Karras Nolan E. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 4000 I By IRA Common Stock, No Par Value 2000 I Trustee for Revocable Trust Common Stock, No Par Value 2017-06-27 4 M 0 8000 12.91 A 8000 D Common Stock, No Par Value 2017-06-27 4 S 0 7000 37.151 D 1000 D Non-qualified stock options (right to buy) 12.91 2017-06-27 4 M 0 8000 0 D 2013-05-23 2019-05-23 Common Stock 8000 0 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 2018-05-24 2024-05-24 Common Stock 25000 25000 D 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 $37.150 to 37.155, inclusive. The reporting person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., 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. Shares held jointly by the reporting person and his spouse. Becomes exercisable in equal annual installments of 20% commencing 5/23/2013. Becomes exercisable in equal annual installments of 20% commencing 5/22/2014. Becomes exercisable in equal annual installments of 20% commencing 6/11/2015. Becomes exercisable in equal annual installments of 20% commencing 5/22/2016. Becomes exercisable in equal annual installments of 20% commencing 5/26/2017. Becomes exercisable in equal annual installments of 20% commencing 5/24/2018. Brian G. Lloyd, Attorney-in-Fact 2017-06-29