0001415889-21-002388.txt : 20210510 0001415889-21-002388.hdr.sgml : 20210510 20210510164802 ACCESSION NUMBER: 0001415889-21-002388 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210507 FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lloyd Brian G. CENTRAL INDEX KEY: 0001671772 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 21907989 MAIL ADDRESS: STREET 1: 1600 WEST MERIT PARKWAY CITY: SOUTH JORDAN STATE: UT ZIP: 84095 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 form4-05102021_010547.xml X0306 4 2021-05-07 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001671772 Lloyd Brian G. 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 false true false false CHIEF LEGAL OFFICER, SECRETARY Common Stock, No Par Value 2021-05-07 4 M 0 5000 19.72 A 13039 D Common Stock, No Par Value 2021-05-07 4 S 0 5000 64.62 D 8039 D Common Stock, No Par Value 2021-04-13 5 G 0 2343 0 D 5696 D Non-qualified stock options (right to buy) 19.72 2021-05-07 4 M 0 5000 0 D 2017-05-02 2023-05-02 Common Stock 5000 0 D Non-qualified stock options (right to buy) 28.2 2018-04-14 2024-04-14 Common Stock 50000 50000 D Non-qualified stock options (right to buy) 44.8 2019-03-02 2025-03-02 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 30000 30000 D Non-qualified stock options (right to buy) 37.71 2021-02-26 2027-02-26 Common Stock 16722 16722 D Non-qualified stock options (right to buy) 56.25 2022-03-19 2028-03-19 Common Stock 9681 9681 D The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $64.51 to $65.10, inclusive. The Reporting Person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. Become exercisable in equal annual installments of 20% commencing on 05/02/2017. Become exercisable in equal annual installments of 20% commencing on 04/14/2018. Become exercisable in equal annual installments of 20% commencing on 03/02/2019. Become exercisable in equal annual installments of 20% commencing on 03/01/2020. Become exercisable in equal annual installments of 25% commencing on 02/26/2021. Become exercisable in equal annual installments of 25% commencing on 03/19/2022. /s/ Brian G. Lloyd 2021-05-10