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