SEC Form 4 · accession 0000856982-18-000048
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
F. Ann Millner
Director
Period of report
Jun 7, 2018
Accepted (ET)
Jun 11, 2018 · 5:59 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000856982
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, No Par Value | holding | — | — | — | 3,644 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF4 | $50.50 | Jun 7, 2018 | A | 25,000 | A | Jun 7, 2019 | Jun 7, 2025 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F1 | $21.98 | holding | — | — | — | Jul 16, 2016 | Jul 16, 2022 | Common Stock | 12,739 | 12,739 | D |
| Non-qualified stock options (right to buy)F2 | $18.80 | holding | — | — | — | May 26, 2017 | May 26, 2023 | Common Stock | 20,000 | 20,000 | D |
| Non-qualified stock options (right to buy)F3 | $34.40 | holding | — | — | — | May 24, 2018 | May 24, 2024 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Becomes exercisable in equal annual installments of 20% commencing 07/16/2016.
- F2Becomes exercisable in equal annual installments of 20% commencing 05/26/2017.
- F3Becomes exercisable in equal annual installments of 20% commencing 05/24/2018.
- F4Becomes exercisable in equal annual installments of 20% commencing 06/07/2019.