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