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