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