0001415889-23-008481.txt : 20230522
0001415889-23-008481.hdr.sgml : 20230522
20230522144306
ACCESSION NUMBER: 0001415889-23-008481
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230518
FILED AS OF DATE: 20230522
DATE AS OF CHANGE: 20230522
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gunderson Thomas James
CENTRAL INDEX KEY: 0001708144
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 23944025
MAIL ADDRESS:
STREET 1: 5905 LONG BRAKE TRAIL
CITY: EDINA
STATE: MN
ZIP: 55439
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
form4-05222023_060501.xml
X0407
4
2023-05-18
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001708144
Gunderson Thomas James
1600 WEST MERIT PARKWAY
SOUTH JORDAN
UT
84095
true
false
false
false
0
Common Stock, No Par Value
2023-05-18
4
A
0
2262
0
A
12414
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
The reported transaction involved the reporting person's receipt of a grant of 2,262 restricted stock units (RSUs) under the Merit Medical Systems, Inc. 2018 Long-Term Incentive Plan. The RSUs vest on May 18, 2024. Vesting of the RSUs is subject to continued service to the issuer through the vesting date.
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
2023-05-22