0001415889-21-002580.txt : 20210520 0001415889-21-002580.hdr.sgml : 20210520 20210520084036 ACCESSION NUMBER: 0001415889-21-002580 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210517 FILED AS OF DATE: 20210520 DATE AS OF CHANGE: 20210520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON A SCOTT CENTRAL INDEX KEY: 0001184825 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 21942446 MAIL ADDRESS: STREET 1: ONE SOUTH MAIN, SUITE 1134 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 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 form4-05202021_050527.xml X0306 4 2021-05-17 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001184825 ANDERSON A SCOTT 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 true false false false Common Stock, No Par Value 2021-05-17 4 M 0 15000 18.80 A 33762 D Common Stock, No Par Value 2021-05-17 4 M 0 15000 34.40 A 48762 D Common Stock, No Par Value 2021-05-17 4 M 0 15000 20.27 A 63762 D Common Stock, No Par Value 2021-05-17 4 S 0 23779 59.19 D 39983 D Non-qualified stock options (right to buy) 20.27 2021-05-17 4 M 0 15000 0 D 2016-05-22 2022-05-22 Common Stock 15000 0 D Non-qualified stock options (right to buy) 18.8 2021-05-17 4 M 0 15000 0 D 2017-05-26 2023-05-26 Common Stock 15000 5000 D Non-qualified stock options (right to buy) 34.4 2021-05-17 4 M 0 15000 0 D 2018-05-24 2024-05-24 Common Stock 15000 10000 D Non-qualified stock options (right to buy) 50.5 2019-06-07 2025-06-07 Common Stock 25000 25000 D Non-qualified stock options (right to buy) 52.17 2020-05-24 2026-05-24 Common Stock 13750 13750 D Non-qualified stock options (right to buy) 52.17 2020-05-31 2026-05-31 Common Stock 7500 7500 D Restricted Stock Unit 2021-06-22 Common Stock 4188 4188 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 $59.00 to $59.51, 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. Becomes exercisable in equal annual installments of 20% commencing 05/22/2016. Becomes exercisable in equal annual installments of 20% commencing 05/26/2017. Becomes exercisable in equal annual installments of 20% commencing 05/24/2018. Becomes exercisable in equal annual installments of 20% commencing 06/07/2019. Becomes exercisable in equal annual installments of 33% commencing 05/24/2020. Becomes exercisable in equal annual installments of 33% commencing 05/31/2020. Each restricted stock unit represents a contingent right to receive one share of the issuer's Common Stock upon vesting. Each restricted stock unit vests on June 22, 2021 subject to continued service to the issuer through the vesting date. /s/ Brian G. Lloyd, Attorney-in-Fact 2021-05-19