0001179110-15-008645.txt : 20150527 0001179110-15-008645.hdr.sgml : 20150527 20150527165337 ACCESSION NUMBER: 0001179110-15-008645 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150522 FILED AS OF DATE: 20150527 DATE AS OF CHANGE: 20150527 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: Miller Franklin J CENTRAL INDEX KEY: 0001327767 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 15892968 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 4 1 edgar.xml FORM 4 - X0306 4 2015-05-22 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 2334 D Non-qualified stock options (right to buy) 11.41 2005-05-25 2015-05-25 Common Stock 5833 5833 D Non-qualified stock options (right to buy) 11.53 2009-05-21 2015-05-21 Common Stock 18750 18750 D Non-qualified stock options (right to buy) 13.82 2010-09-26 2016-09-26 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.16 2011-06-25 2017-06-25 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.75 2012-08-11 2018-08-11 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 12.91 2013-05-23 2019-05-23 Common Stock 20000 20000 D Non-qualified stock options (right to buy) 9.95 2014-05-22 2020-05-22 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 13.99 2015-06-11 2021-06-11 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 20.27 2015-05-22 4 A 0 25000 0 A 2016-05-22 2022-05-22 Common Stock 25000 25000 D Becomes exercisable in equal annual installments of 20% commencing 05/21/2009. Becomes exercisable in equal annual installments of 20% commencing 09/26/2010. Becomes exercisable in equal annual installments of 20% commencing 06/25/2011. Becomes exercisable in equal annual installments of 20% commencing 08/11/2012. Becomes exercisable in equal annual installments of 20% commencing 05/23/2013. 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. Gregory L. Barnett, Attorney-in-Fact 2015-05-27