0001415889-23-002177.txt : 20230208 0001415889-23-002177.hdr.sgml : 20230208 20230208184344 ACCESSION NUMBER: 0001415889-23-002177 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230208 DATE AS OF CHANGE: 20230208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON A SCOTT CENTRAL INDEX KEY: 0001184825 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 23600498 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 5 1 form5-02082023_110234.xml X0306 5 2022-12-31 0 0 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 2022-11-17 5 G 0 3000 0 D 47135 D Non-qualified stock options (right to buy) 18.8 2017-05-26 2023-05-26 Common Stock 5000 5000 D Non-qualified stock options (right to buy) 34.4 2018-05-24 2024-05-24 Common Stock 10000 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 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/ A. Scott Anderson, Attorney-in-Fact 2023-02-08