0001179110-18-000074.txt : 20180102
0001179110-18-000074.hdr.sgml : 20180102
20180102154418
ACCESSION NUMBER: 0001179110-18-000074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171229
FILED AS OF DATE: 20180102
DATE AS OF CHANGE: 20180102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller Franklin J
CENTRAL INDEX KEY: 0001327767
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 18501672
MAIL ADDRESS:
STREET 1: 1600 WEST MERIT PARKWAY
CITY: SOUTH JORDAN
STATE: UT
ZIP: 84095
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
4
1
edgar.xml
FORM 4 -
X0306
4
2017-12-29
0
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001327767
Miller Franklin J
1600 W MERIT PARKWAY
SOUTH JORDAN
UT
84095
1
0
0
0
Common Stock, No Par Value
18193
I
By the Franklin J. Miller and Bonnie A. Miller Family Trust
Common Stock, No Par Value
2017-12-29
4
M
0
10000
13.75
A
21244
D
Common Stock, No Par Value
2017-12-29
4
S
0
10000
43.925
D
11244
D
Non-qualified stock options (right to buy)
13.75
2017-12-29
4
M
0
10000
0
D
2012-08-11
2018-08-11
Common Stock
10000
10000
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
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 $43.85 to $44.00, 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.
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
2018-01-02