0001415889-22-006232.txt : 20220607
0001415889-22-006232.hdr.sgml : 20220607
20220607193441
ACCESSION NUMBER: 0001415889-22-006232
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220603
FILED AS OF DATE: 20220607
DATE AS OF CHANGE: 20220607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Millner F. Ann
CENTRAL INDEX KEY: 0001649014
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18592
FILM NUMBER: 221002311
MAIL ADDRESS:
STREET 1: 4275 SPRING ROAD
CITY: OGDEN
STATE: UT
ZIP: 84403
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
form4-06072022_040630.xml
X0306
4
2022-06-03
0000856982
MERIT MEDICAL SYSTEMS INC
MMSI
0001649014
Millner F. Ann
1600 WEST MERIT PARKWAY
SOUTH JORDAN
UT
84095
true
false
false
false
Common Stock, No Par Value
2022-06-03
4
M
0
10000
18.80
A
34076
D
Common Stock, No Par Value
2022-06-03
4
S
0
6378
61.92
D
27698
D
Non-qualified stock options (right to buy)
18.8
2022-06-03
4
M
0
10000
0
D
2017-05-26
2023-05-26
Common Stock
10000
0
D
Non-qualified stock options (right to buy)
34.4
2018-05-24
2024-05-24
Common Stock
20000
20000
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 price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $61.900 to $61.985, 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 05/26/2017.
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.
/s/ Brian G. Lloyd, Attorney-in-Fact
2022-06-07