0001179110-20-001554.txt : 20200213 0001179110-20-001554.hdr.sgml : 20200213 20200213154905 ACCESSION NUMBER: 0001179110-20-001554 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200213 DATE AS OF CHANGE: 20200213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LIU DAVID MING-TEH CENTRAL INDEX KEY: 0001680776 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 20610167 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 5 1 edgar.xml FORM 5 - X0306 5 2019-12-31 0 0 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001680776 LIU DAVID MING-TEH 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Non-qualified stock options (right to buy) 21.71 2017-07-25 2023-07-25 Common Stock 10500 10500 D Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 12500 12500 D Non-qualified stock options (right to buy) 50.5 2019-06-07 2025-06-07 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 52.17 2020-05-24 2026-05-24 Common Stock 13750 13750 D Non-qualified stock options (right to buy) 52.17 2020-05-31 2026-05-31 Common Stock 7500 7500 D Becomes exercisable in equal annual installments of 20% commencing 07/25/2017. Since the date of the reporting person's last ownership report, the reporting person transferred one-half of this grant of stock options, equivalent to 10,500 shares, to his ex-wife pursuant to a domestic relations order. The reporting person disclaims beneficial ownership in all such transferred stock options and no longer reports them as beneficially owned. Becomes exercisable in equal annual installments of 20% commencing 05/24/2018. Since the date of the reporting person's last ownership report, the reporting person transferred one-half of this grant of stock options, equivalent to 12,500 shares, to his ex-wife pursuant to a domestic relations order. The reporting person disclaims beneficial ownership in all such transferred stock options and no longer reports them as beneficially owned. Becomes exercisable in equal annual installments of 20% commencing 06/07/2019. Becomes exercisable in equal annual installments of 33% commencing 05/24/2020. Becomes exercisable in equal annual installments of 33% commencing 05/31/2020. Brian G. Lloyd, Attorney-in-Fact 2020-02-13