0001415889-20-001318.txt : 20200522 0001415889-20-001318.hdr.sgml : 20200522 20200522175126 ACCESSION NUMBER: 0001415889-20-001318 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141004 FILED AS OF DATE: 20200522 DATE AS OF CHANGE: 20200522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 20907324 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/A 1 form4a-05222020_020512.xml X0306 4/A 2014-10-04 2014-10-07 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 true true false false PRESIDENT AND CEO Non-qualified stock options (right to buy) 12.06 2014-10-04 4 M 0 5000 0 A 2015-10-04 2021-10-04 Common Stock 5000 5000 I By spouse Becomes exercisable in equal annual installments of 20% commencing 10/4/2015. On October 7, 2014, the reporting person filed a Form 4 which omitted a grant of non-qualified stock options to his spouse. This Amended Form 4 is being filed to correct that omission. Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse. /s/ Brian G. Lloyd, Attorney-in-Fact 2020-05-22