0001179110-14-015235.txt : 20141007 0001179110-14-015235.hdr.sgml : 20141007 20141007191255 ACCESSION NUMBER: 0001179110-14-015235 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141004 FILED AS OF DATE: 20141007 DATE AS OF CHANGE: 20141007 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 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: 141146511 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: X1 ZIP: 84095 4 1 edgar.xml FORM 4 - X0306 4 2014-10-04 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 15772 I By 401(k) plan Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 11250 11250 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 15000 15000 D Non-qualified stock options (right to buy) 13.14 2014-07-31 2020-07-31 Common Stock 10000 10000 D Non-qualified stock options (right to buy) 12.06 2014-10-04 4 A 0 25000 0 A 2015-10-04 2021-10-04 Common Stock 25000 25000 D Represents plan holdings as of 10/01/2014. Become exercisable in equal annual installments of 20% commencing 05/21/2009. Become exercisable in equal annual installments of 20% commencing 08/11/2012. Become exercisable in equal annual installments of 20% commencing 07/31/2014. Become exercisable in equal annual installments of 20% commencing 10/04/2015. Rashelle Perry, Attorney-in-Fact 2014-10-07