0001415889-21-001634.txt : 20210323
0001415889-21-001634.hdr.sgml : 20210323
20210323213823
ACCESSION NUMBER: 0001415889-21-001634
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210319
FILED AS OF DATE: 20210323
DATE AS OF CHANGE: 20210323
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LAMPROPOULOS FRED P
CENTRAL INDEX KEY: 0000901534
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 21766398
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
form4-03232021_060307.xml
X0306
4
2021-03-19
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0000901534
LAMPROPOULOS FRED P
1600 WEST MERIT PARKWAY
SOUTH JORDAN
UT
84095
true
true
false
false
PRESIDENT AND CEO
Common Stock, No Par Value
967916
D
Common Stock, No Par Value
95862.542
I
By 401(k) Plan
Common Stock, No Par Value
90
I
By spouse as custodian for child
Common Stock, No Par Value
1269
I
By spouse
Non-qualified stock options (right to buy)
56.25
2021-03-19
4
A
0
58083
0
A
2022-03-19
2028-03-19
Common Stock
58083
58083
D
Non-qualified stock options (right to buy)
17.27
2016-02-13
2022-02-13
Common Stock
5000
5000
I
See footnote
Non-qualified stock options (right to buy)
16.05
2017-01-28
2023-01-28
Common Stock
50000
50000
D
Non-qualified stock options (right to buy)
16.05
2017-01-28
2023-01-28
Common Stock
6000
6000
I
See footnote
Non-qualified stock options (right to buy)
28.20
2018-04-14
2024-04-14
Common Stock
200000
200000
D
Non-qualified stock options (right to buy)
28.20
2018-04-14
2024-04-14
Common Stock
6000
6000
I
See footnote
Non-qualified stock options (right to buy)
44.80
2019-03-02
2025-03-02
Common Stock
38002
38002
D
Non-qualified stock options (right to buy)
44.80
2019-03-02
2025-03-02
Common Stock
4000
4000
I
See footnote
Non-qualified stock options (right to buy)
55.73
2020-03-01
2026-03-01
Common Stock
159151
159151
D
Non-qualified stock options (right to buy)
55.73
2020-03-01
2026-03-01
Common Stock
2000
2000
I
See footnote
Non-qualified stock options (right to buy)
37.71
2021-02-26
2027-02-26
Common Stock
100334
100334
D
Represents plan holdings as of 2/26/2021.
Becomes exercisable in equal annual installments of 25% commencing 3/19/2022.
Became exercisable in equal annual installments of 20% commencing 2/13/2016.
Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse.
Becomes exercisable in equal annual installments of 20% commencing 1/28/2017.
Original grant of 7,500 options was to become vested and exercisable in equal annual installments of 20% commencing 1/28/2017. Options not vested as of 6/22/2020 have been forfeited.
Becomes exercisable in equal annual installments of 20% commencing 4/14/2018.
Original grant of 10,000 options was to become vested and exercisable in equal annual installments of 20% commencing 4/14/2018. Options not vested as of 6/22/2020 have been forfeited.
Becomes exercisable in equal annual installments of 20% commencing 3/2/2019.
Original grant of 10,000 options was to become vested and exercisable in equal annual installments of 20% commencing 3/2/2019. Options not vested as of 6/22/2020 have been forfeited.
Becomes exercisable in equal annual installments of 20% commencing 3/1/2020.
Original grant of 10,000 options was to become vested and exercisable in equal annual installments of 20% commencing 3/1/2020. Options not vested as of 6/22/2020 have been forfeited.
Becomes exercisable in equal annual installments of 25% commencing 2/26/2021.
/s/ Brian G. Lloyd, Attorney-in-Fact
2021-03-23