0000856982-18-000080.txt : 20181109 0000856982-18-000080.hdr.sgml : 20181109 20181109181458 ACCESSION NUMBER: 0000856982-18-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181107 FILED AS OF DATE: 20181109 DATE AS OF CHANGE: 20181109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frost Ronald CENTRAL INDEX KEY: 0001595939 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 181174348 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: X1 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 wf-form4_154180528198661.xml FORM 4 X0306 4 2018-11-07 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001595939 Frost Ronald 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 0 1 0 0 Chief Operating Officer Common Stock, No Par Value 16239 I By 401(k) plan Common Stock, No Par Value 2018-11-07 4 M 0 5257 13.14 A 5257 D Common Stock, No Par Value 2018-11-07 4 S 0 5257 61.308 D 0 D Non-qualified stock options (right to buy) 13.14 2018-11-07 4 M 0 5257 0 D 2014-07-31 2020-07-31 Common Stock 5257.0 4743 D Non-qualified stock options (right to buy) 12.06 2015-10-04 2021-10-04 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 17.27 2016-02-13 2022-02-13 Common Stock 20000.0 20000 D Non-qualified stock options (right to buy) 16.05 2017-01-28 2023-01-28 Common Stock 20000.0 20000 D Non-qualified stock options (right to buy) 28.2 2018-04-14 2024-04-14 Common Stock 50000.0 50000 D Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 40000.0 40000 D Represents plan holdings as of 11/07/2017. The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $61.30 to $61.35, inclusive. The Reporting Person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. Became exercisable in equal annual installments of 20% commencing 07/31/2014. Become exercisable in equal annual installments of 20% commencing 10/04/2015. Become exercisable in equal annual installments of 20% commencing 02/13/2016. Become exercisable in equal annual installments of 20% commencing 01/28/2017. Become exercisable in equal annual installments of 20% commencing 04/14/2018. Becomes exercisable in equal annual installments of 20% commencing 03/02/2019. Brian G. Lloyd, Attorney-in-Fact 2018-11-09