0001415889-21-001555.txt : 20210317
0001415889-21-001555.hdr.sgml : 20210317
20210317185259
ACCESSION NUMBER: 0001415889-21-001555
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210315
FILED AS OF DATE: 20210317
DATE AS OF CHANGE: 20210317
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Millner F. Ann
CENTRAL INDEX KEY: 0001649014
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 21752271
MAIL ADDRESS:
STREET 1: 4275 SPRING ROAD
CITY: OGDEN
STATE: UT
ZIP: 84403
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
form4-03172021_030342.xml
X0306
4
2021-03-15
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001649014
Millner F. Ann
1600 WEST MERIT PARKWAY
SOUTH JORDAN
UT
84095
true
false
false
false
Common Stock, No Par Value
2021-03-15
4
M
0
4246
21.98
A
15476
D
Common Stock, No Par Value
2021-03-15
4
F
0
1552
60.15
D
13924
D
Non-qualified stock options (right to buy)
21.98
2021-03-15
4
M
1
4246
0
D
2016-07-16
2022-07-16
Common Stock
4246
0
D
Restricted Stock Unit
2021-06-22
Common Stock
4188
4188
D
Non-qualified stock options (right to buy)
18.8
2017-05-26
2023-05-26
Common Stock
10000
10000
D
Non-qualified stock options (right to buy)
34.4
2018-05-24
2024-05-24
Common Stock
20000
20000
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
In the Reporting Person's Form 4 filed on June 24, 2020, the number of these options was incorrectly listed at 4,264 when the correct number of options was 4,246.
Becomes exercisable in equal annual installments of 20% commencing 07/16/2016.
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting.
Becomes exercisable in equal annual installments of 20% commencing 05/26/2017.
Becomes exercisable in equal annual installments of 20% commencing 05/24/2018.
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.
/s/ Brian G. Lloyd, Attorney-in-Fact
2021-03-17