0001415889-21-003135.txt : 20210621 0001415889-21-003135.hdr.sgml : 20210621 20210621191110 ACCESSION NUMBER: 0001415889-21-003135 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210617 FILED AS OF DATE: 20210621 DATE AS OF CHANGE: 20210621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gunderson Thomas James CENTRAL INDEX KEY: 0001708144 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 211032537 MAIL ADDRESS: STREET 1: 5905 LONG BRAKE TRAIL CITY: EDINA STATE: MN ZIP: 55439 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 form4-06212021_040655.xml X0306 4 2021-06-17 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001708144 Gunderson Thomas James 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 true false false false Common Stock, No Par Value 2021-06-17 4 A 0 2914 0 A 7102 D Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 25000 25000 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 The reported transaction involved the reporting person's receipt of a grant of 2,914 restricted stock units under the Merit Medical System, Inc. 2018 Long-Term Incentive Plan. The reporting person has reported prior awards of restricted stock units in Table II of Form 4. The total reported in Column 5 of Table I includes the 2,914 newly awarded restricted stock units that vest on June 17, 2022 and 4,188 previously reported time-vesting restricted stock units that vest on June 22, 2021. Vesting of restricted stock units is subject to continued service to the issuer through the vesting date. 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. /s/ Brian G. Lloyd, Attorney-in-Fact 2021-06-21