Filing Details

Accession Number:
0001415889-20-001320
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-05-22 18:25:37
Reporting Period:
2020-05-20
Accepted Time:
2020-05-22 18:25:37
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
901534 P Fred Lampropoulos 1600 West Merit Parkway
South Jordan UT 84095
President And Ceo No 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 2020-05-20 5,000 $12.06 6,269 No 4 M Indirect By spouse
Common Stock, No Par Value Disposition 2020-05-20 5,000 $44.00 1,269 No 4 S Indirect By spouse
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Indirect By spouse
No 4 S Indirect By spouse
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 2020-05-20 5,000 $0.00 5,000 $12.06
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2015-10-04 2021-10-04 No 4 M Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, No Par Value 95,467 Indirect By 401(k) Plan
Common Stock, No Par Value 90 Indirect By spouse as custodian for child
Common Stock, No Par Value 967,916 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) $17.27 2016-02-13 2022-02-13 5,000 5,000 Indirect
Common Stock Non-qualified stock options (right to buy) $16.05 2017-01-28 2023-01-28 50,000 50,000 Direct
Common Stock Non-qualified stock options (right to buy) $16.05 2017-01-28 2023-01-28 7,500 7,500 Indirect
Common Stock Non-qualified stock options (right to buy) $28.20 2018-04-14 2024-04-14 200,000 200,000 Direct
Common Stock Non-qualified stock options (right to buy) $28.20 2018-04-14 2024-04-14 10,000 10,000 Indirect
Common Stock Non-qualified stock options (right to buy) $44.80 2019-03-02 2025-03-02 38,002 38,002 Direct
Common Stock Non-qualified stock options (right to buy) $44.80 2019-03-02 2025-03-02 10,000 10,000 Indirect
Common Stock Non-qualified stock options (right to buy) $55.73 2020-03-01 2026-03-01 159,151 159,151 Direct
Common Stock Non-qualified stock options (right to buy) $55.73 2020-03-01 2026-03-01 10,000 10,000 Indirect
Common Stock Non-qualified stock options (right to buy) $37.71 2021-02-26 2027-02-26 100,334 100,334 Direct
Common Stock Performance Stock Units $0.00 2021-03-15 2023-03-15 21,215 21,215 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2022-02-13 5,000 5,000 Indirect
2023-01-28 50,000 50,000 Direct
2023-01-28 7,500 7,500 Indirect
2024-04-14 200,000 200,000 Direct
2024-04-14 10,000 10,000 Indirect
2025-03-02 38,002 38,002 Direct
2025-03-02 10,000 10,000 Indirect
2026-03-01 159,151 159,151 Direct
2026-03-01 10,000 10,000 Indirect
2027-02-26 100,334 100,334 Direct
2023-03-15 21,215 21,215 Direct
Footnotes
  1. 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 $44.00 to $44.01, 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.
  2. Represents plan holdings as of 5/20/2020.
  3. Becomes exercisable in equal annual installments of 20% commencing 10/4/2015.
  4. Represents derivative securities held by the spouse of the reporting person. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse.
  5. Becomes exercisable in equal annual installments of 20% commencing 2/13/2016.
  6. Becomes exercisable in equal annual installments of 20% commencing 1/28/2017.
  7. Becomes exercisable in equal annual installments of 20% commencing 4/14/2018.
  8. Becomes exercisable in equal annual installments of 20% commencing 3/2/2019.
  9. Becomes exercisable in equal annual installments of 20% commencing 3/1/2020.
  10. Becomes exercisable in equal annual installments of 25% commencing 2/26/2021.
  11. Each performance share unit represents the Company's commitment to issue one share of Merit Medical Systems, Inc. common stock, subject to achievement of performance criteria.
  12. If earned by the Reporting Person, the PSUs will be awarded not later than March 15 of the year following the Issuer's achievement of the target level of free cash flow, subject to conditions set forth in the Performance Stock Unit Award Agreement.
  13. On February 26, 2020, the reporting person was awarded a target number of performance share units ("PSUs") pursuant to a Performance Stock Unit Award Agreement by and between the Reporting Person and the Issuer. The actual number of PSUs to be awarded to the Reporting Person will be based upon the Issuer's free cash flow measured against its 2020 financial plan over one, two and three-year periods ending December 31, 2020, 2021 and 2022, respectively, and subject to the Reporting Person's continued employment with the Issuer and the conditions set forth in the Stock Unit Award Agreement.