Filing Details

Accession Number:
0001415889-21-002580
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-05-20 08:40:36
Reporting Period:
2021-05-17
Accepted Time:
2021-05-20 08:40:36
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
1184825 Scott A Anderson 1600 West Merit Parkway
South Jordan UT 84095
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 2021-05-17 15,000 $18.80 33,762 No 4 M Direct
Common Stock, No Par Value Acquisiton 2021-05-17 15,000 $34.40 48,762 No 4 M Direct
Common Stock, No Par Value Acquisiton 2021-05-17 15,000 $20.27 63,762 No 4 M Direct
Common Stock, No Par Value Disposition 2021-05-17 23,779 $59.19 39,983 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 M Direct
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 2021-05-17 15,000 $0.00 15,000 $20.27
Common Stock Non-qualified stock options (right to buy) Disposition 2021-05-17 15,000 $0.00 15,000 $18.80
Common Stock Non-qualified stock options (right to buy) Disposition 2021-05-17 15,000 $0.00 15,000 $34.40
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2016-05-22 2022-05-22 No 4 M Direct
5,000 2017-05-26 2023-05-26 No 4 M Direct
10,000 2018-05-24 2024-05-24 No 4 M 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) $50.50 2019-06-07 2025-06-07 25,000 25,000 Direct
Common Stock Non-qualified stock options (right to buy) $52.17 2020-05-24 2026-05-24 13,750 13,750 Direct
Common Stock Non-qualified stock options (right to buy) $52.17 2020-05-31 2026-05-31 7,500 7,500 Direct
Common Stock Restricted Stock Unit $0.00 2021-06-22 4,188 4,188 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2025-06-07 25,000 25,000 Direct
2026-05-24 13,750 13,750 Direct
2026-05-31 7,500 7,500 Direct
2021-06-22 4,188 4,188 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 $59.00 to $59.51, 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. Becomes exercisable in equal annual installments of 20% commencing 05/22/2016.
  3. Becomes exercisable in equal annual installments of 20% commencing 05/26/2017.
  4. Becomes exercisable in equal annual installments of 20% commencing 05/24/2018.
  5. Becomes exercisable in equal annual installments of 20% commencing 06/07/2019.
  6. Becomes exercisable in equal annual installments of 33% commencing 05/24/2020.
  7. Becomes exercisable in equal annual installments of 33% commencing 05/31/2020.
  8. Each restricted stock unit represents a contingent right to receive one share of the issuer's Common Stock upon vesting.
  9. Each restricted stock unit vests on June 22, 2021 subject to continued service to the issuer through the vesting date.