Filing Details

Accession Number:
0001179110-15-015585
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-12-02 16:29:46
Reporting Period:
2015-11-30
Filing Date:
2015-12-02
Accepted Time:
2015-12-02 16:29:46
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
856982 Merit Medical Systems Inc MMSI Surgical & Medical Instruments & Apparatus (3841) 870447695
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1184963 Rashelle Perry 1600 W. Merit Parkway
South Jordan UT 84095
Chief Legal Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, No Par Value Acquisiton 2015-11-30 12,500 $9.71 21,935 No 4 M Direct
Common Stock, No Par Value Disposition 2015-11-30 12,500 $19.36 9,435 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Non-qualified stock options (right to buy) Disposition 2015-11-30 12,500 $0.00 12,500 $9.71
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2005-12-28 2015-12-28 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, No Par Value 7,542 Indirect By 401(k)plan
Common Stock, No Par Value 643 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Non-qualified stock options (right to buy) $13.75 2012-08-11 2018-08-11 40,000 40,000 Direct
Common Stock Non-qualified stock options (right to buy) $13.14 2014-07-31 2020-07-31 10,000 10,000 Direct
Common Stock Non-qualified stock options (right to buy) $12.06 2015-10-04 2021-10-04 25,000 25,000 Direct
Common Stock Non-qualified stock options (right to buy) $17.27 2016-02-13 2022-02-13 20,000 20,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2018-08-11 40,000 40,000 Direct
2020-07-31 10,000 10,000 Direct
2021-10-04 25,000 25,000 Direct
2022-02-13 20,000 20,000 Direct
Footnotes
  1. Represents plan holdings as of 11/30/2015.
  2. Acquired under the Employee Stock Purchase Plan.
  3. 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 $19.27 to $19.40, 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.
  4. Become exercisable in equal annual installments of 20% commencing 08/11/12.
  5. Become exercisable in equal annual installments of 20% commencing 07/31/14.
  6. Become exercisable in equal annual installments of 20% commencing 10/04/15.
  7. Become exercisable in equal annual installments of 20% commencing 02/13/16.