0001179110-16-032880.txt : 20161213
0001179110-16-032880.hdr.sgml : 20161213
20161213173724
ACCESSION NUMBER: 0001179110-16-032880
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161209
FILED AS OF DATE: 20161213
DATE AS OF CHANGE: 20161213
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: 162049808
MAIL ADDRESS:
STREET 1: 1600 WEST MERIT PARKWAY
CITY: SOUTH JORDAN
STATE: X1
ZIP: 84095
4
1
edgar.xml
FORM 4 -
X0306
4
2016-12-09
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
16053
I
By 401(k) plan
Common Stock, No Par Value
2016-12-09
4
M
0
15000
13.75
A
15000
D
Common Stock, No Par Value
2016-12-09
4
S
0
15000
26.25
D
0
D
Non-qualified stock options (right to buy)
13.75
2016-12-09
4
M
0
15000
0
D
2012-08-11
2018-08-11
Common Stock
15000
0
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
2015-10-04
2021-10-04
Common Stock
25000
25000
D
Non-qualified stock options (right to buy)
17.27
2016-02-13
2022-02-13
Common Stock
20000
20000
D
Non-qualified stock options (right to buy)
16.05
2017-01-28
2023-01-28
Common Stock
20000
20000
D
Represents plan holdings as of 12/09/2016.
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.
Become exercisable in equal annual installments of 20% commencing 02/13/2016.
Become exercisable in equal annual installments of 20% commencing 01/28/2017.
Ronald Frost
2016-12-13