0001415889-21-004366.txt : 20210913 0001415889-21-004366.hdr.sgml : 20210913 20210913190846 ACCESSION NUMBER: 0001415889-21-004366 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210910 FILED AS OF DATE: 20210913 DATE AS OF CHANGE: 20210913 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson Jill CENTRAL INDEX KEY: 0001764314 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 211250833 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 form4-09132021_040939.xml X0306 4 2021-09-10 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0001764314 Anderson Jill 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 true false false false Common Stock, No Par Value 2021-09-10 4 S 0 850 71.64 D 6252 D Non-qualified stock options (right to buy) 51.31 2020-01-07 2026-01-07 Common Stock 9726 9726 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 total reported in Column 5 of Table I includes 3,338 fully-vested restricted stock units and 2,914 restricted stock units that vest on June 17, 2022. Vesting of restricted stock units is subject to continued service to the issuer through the vesting date. Becomes exercisable in equal annual installments of 33% commencing 01/07/2020. 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 2021-09-13