Filing Details

Accession Number:
0001179110-11-005345
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-03-22 17:37:30
Reporting Period:
2011-03-18
Filing Date:
2011-03-22
Accepted Time:
2011-03-22 17:37:30
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
1192954 J James Ellis 1600 W. Merit Parkway
South Jordan UT 84095
Yes No 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 2011-03-18 26,667 $10.47 30,918 No 4 M Direct
Common Stock, No Par Value Disposition 2011-03-18 26,667 $18.70 4,251 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 Nonqualified stock options (rights to buy) Disposition 2011-03-18 26,667 $0.00 26,667 $10.47
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2003-05-22 2013-05-22 No 4 M Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Nonqualified stock options (rights to buy) $21.67 2003-12-13 2013-12-13 15,000 15,000 Direct
Common Stock Nonqualified stock options (rights to buy) $13.81 2004-06-10 2014-06-10 15,000 15,000 Direct
Common Stock Nonqualified stock options (rights to buy) $14.26 2005-05-25 2015-05-25 15,000 15,000 Direct
Common Stock Nonqualified stock options (rights to buy) $11.52 2006-05-25 2013-05-25 15,000 15,000 Direct
Common Stock Nonqualified stock options (rights to buy) $12.13 2008-06-27 2014-06-27 15,000 15,000 Direct
Common Stock Nonqualified stock options (rights to buy) $14.41 2009-05-21 2015-05-21 15,000 15,000 Direct
Common Stock Nonqualified stock options (rights to buy) $17.28 2010-09-26 2016-09-26 20,000 20,000 Direct
Common Stock Nonqualified stock options (rights to buy) $16.45 2011-06-25 2017-06-25 20,000 20,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2013-12-13 15,000 15,000 Direct
2014-06-10 15,000 15,000 Direct
2015-05-25 15,000 15,000 Direct
2013-05-25 15,000 15,000 Direct
2014-06-27 15,000 15,000 Direct
2015-05-21 15,000 15,000 Direct
2016-09-26 20,000 20,000 Direct
2017-06-25 20,000 20,000 Direct
Footnotes
  1. Become exercisable in equal annual installments of 20% commencing 6/27/2008.
  2. Become exercisable in equal annual installments of 20% commencing 5/21/2009.
  3. Become exercisable in equal annual installments of 20% commencing 9/26/2010.
  4. Become exercisable in equal annual installments of 20% commencing 6/25/2011.
  5. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.64 to $18.75, 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 footnote to this Form 4.