0001415889-20-000747.txt : 20200313 0001415889-20-000747.hdr.sgml : 20200313 20200313170043 ACCESSION NUMBER: 0001415889-20-000747 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200311 FILED AS OF DATE: 20200313 DATE AS OF CHANGE: 20200313 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: 20713668 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 form4-03132020_020329.xml X0306 4 2020-03-11 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001327767 Miller Franklin J 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 true false false false Common Stock, No Par Value 2020-03-11 4 M 0 2331 9.95 A 4665 D Common Stock, No Par Value 2020-03-11 4 S 0 2331 35.25 D 2334 D Common Stock, No Par Value 2020-03-12 4 M 0 2669 9.95 A 32566 I By the Franklin J. Miller and Bonnie A. Miller Family Trust Non-qualified stock options (right to buy) 9.95 2020-03-11 4 M 0 2331 0 D 2014-05-22 2020-05-22 Common Stock 2331 2669 D Non-qualified stock options (right to buy) 9.95 2020-03-12 4 M 0 2669 0 D 2014-05-22 2020-05-22 Common Stock 2669 0 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) 18.8 2017-05-26 2023-05-26 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 25000 25000 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 on 05/22/2014. Becomes exercisable in equal annual installments of 20% commencing on 06/11/2015. Becomes exercisable in equal annual installments of 20% commencing on 05/22/2016. Becomes exercisable in equal annual installments of 20% commencing on 05/26/2017. Becomes exercisable in equal annual installments of 20% commencing on 05/24/2018. Becomes exercisable in equal annual installments of 20% commencing on 06/07/2019. Becomes exercisable in equal annual installments of 33% commencing on 05/24/2020. Becomes exercisable in equal annual installments of 33% commencing on 05/31/2020. /s/ Brian G. Lloyd, Attorney-in-Fact 2020-03-13