0001415889-23-012784.txt : 20230829 0001415889-23-012784.hdr.sgml : 20230829 20230829180844 ACCESSION NUMBER: 0001415889-23-012784 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230825 FILED AS OF DATE: 20230829 DATE AS OF CHANGE: 20230829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPROPOULOS FRED P CENTRAL INDEX KEY: 0000901534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18592 FILM NUMBER: 231223328 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 form4-08292023_100836.xml X0508 4 2023-08-25 0000856982 MERIT MEDICAL SYSTEMS INC MMSI 0000901534 LAMPROPOULOS FRED P 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 true true false false PRESIDENT AND CEO 0 Common Stock, No Par Value 2023-08-25 4 M 0 200000 28.20 A 1167916 D Common Stock, No Par Value 2023-08-25 4 M 0 6000 28.20 A 12888 I By spouse Common Stock, No Par Value 2023-08-25 4 F 0 135356 67.19 D 1032560 D Common Stock, No Par Value 2023-08-25 4 F 0 3660 67.19 D 9228 I By spouse Common Stock, No Par Value 97083 I By 401(k) Plan Common Stock, No Par Value 90 I By spouse as custodian for child Non-qualified stock options (right to buy) 28.20 2023-08-25 4 M 0 200000 0 D 2018-04-14 2024-04-14 Common Stock 200000 0 D Non-qualified stock options (right to buy) 28.20 2023-08-25 4 M 0 6000 0 D 2018-04-14 2024-04-14 Common Stock 6000 0 I By spouse Non-qualified stock options (right to buy) 44.80 2019-03-02 2025-03-02 Common Stock 38002 38002 D Non-qualified stock options (right to buy) 44.80 2019-03-02 2025-03-02 Common Stock 4000 4000 I By spouse Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 159151 159151 D Non-qualified stock options (right to buy) 55.73 2020-03-01 2026-03-01 Common Stock 2000 2000 I By spouse Non-qualified stock options (right to buy) 37.71 2021-02-26 2027-02-26 Common Stock 100334 100334 D Non-qualified stock options (right to buy) 56.25 2022-03-19 2028-03-19 Common Stock 58083 58083 D Non-qualified stock options (right to buy) 70.58 2024-02-28 2030-02-28 Common Stock 54302 54302 D Represents securities held by the spouse of the Reporting Person. The Reporting Person expressly disclaims beneficial ownership of the securities owned by his spouse. The Reporting Person surrendered 135,356 shares of common stock to the Issuer for payroll taxes and payment of the option price. No shares were sold in the open market. The Reporting Person's spouse surrendered 3,660 shares of common stock to the Issuer for payroll taxes and payment of the option price. No shares were sold in the open market. Becomes exercisable in equal annual installments of 20% commencing 4/14/2018. Original grant of 10,000 options was to become vested and exercisable in equal annual installments of 20% commencing 4/14/2018. Options not vested as of 6/22/2020 have been forfeited. Becomes exercisable in equal annual installments of 20% commencing 3/2/2019. Original grant of 10,000 options was to become vested and exercisable in equal annual installments of 20% commencing 3/2/2019. Options not vested as of 6/22/2020 have been forfeited. Becomes exercisable in equal annual installments of 20% commencing 3/1/2020. Original grant of 10,000 options was to become vested and exercisable in equal annual installments of 20% commencing 3/1/2020. Options not vested as of 6/22/2020 have been forfeited. Becomes exercisable in equal annual installments of 25% commencing 2/26/2021. Becomes exercisable in equal annual installments of 25% commencing 3/19/2022. Becomes exercisable in equal annual installments of 25% commencing 2/28/2024. /s/ Brian G. Lloyd, Attorney-in-Fact 2023-08-29