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