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