0000856982-19-000040.txt : 20190402 0000856982-19-000040.hdr.sgml : 20190402 20190402185940 ACCESSION NUMBER: 0000856982-19-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190329 FILED AS OF DATE: 20190402 DATE AS OF CHANGE: 20190402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Franklin J CENTRAL INDEX KEY: 0001327767 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 19726884 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT 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_155424596597165.xml FORM 4 X0306 4 2019-03-29 0 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001327767 Miller Franklin J 1600 W MERIT PARKWAY SOUTH JORDAN UT 84095 1 0 0 0 Common Stock, No Par Value 18193 I By the Franklin J. Miller and Bonnie A. Miller Family Trust Common Stock, No Par Value 2019-03-29 4 M 0 5000 9.95 A 19038 D Common Stock, No Par Value 2019-03-29 4 S 0 5000 61.375 D 14038 D Non-qualified stock options (right to buy) 9.95 2019-03-29 4 M 0 5000 0 D 2014-05-22 2020-05-22 Common Stock 5000.0 20000 D Non-qualified stock options (right to buy) 13.99 2015-06-11 2021-06-11 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 20.27 2016-05-22 2022-05-22 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 18.8 2017-05-26 2023-05-26 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 25000.0 25000 D Non-qualified stock options (right to buy) 50.5 2019-06-07 2025-06-07 Common Stock 25000.0 25000 D 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 $61.25 to $61.42, 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. Becomes exercisable in equal annual installments of 20% commencing 05/22/2014. Becomes exercisable in equal annual installments of 20% commencing 06/11/2015. Becomes exercisable in equal annual installments of 20% commencing 05/22/2016. 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. Brian G. Lloyd, Attorney-in-Fact 2019-04-02