SEC Form 4 · accession 0000856982-18-000058

MERIT MEDICAL SYSTEMS INC · MMSI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Franklin J Miller

Director

Period of report

Jun 21, 2018

Accepted (ET)

Jun 25, 2018 · 7:12 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	Jun 21, 2018	M	1,500	$13.75	A	12,744	D
Common Stock, No Par Value	Jun 21, 2018	S	1,500	$50.05	D	11,244	D
Common Stock, No Par Value	Jun 22, 2018	M	1,600	$13.75	A	12,844	D
Common Stock, No Par Value^F1	Jun 22, 2018	S	1,600	$50.234	D	11,244	D
Common Stock, No Par Value	Jun 25, 2018	M	6,900	$13.75	A	18,144	D
Common Stock, No Par Value^F2	Jun 25, 2018	S	4,106	$50.948	D	14,038	D
Common Stock, No Par Value	holding	—	—		—	18,193	I	By the Franklin J. Miller and Bonnie A. Miller Family Trust

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Non-qualified stock options (right to buy)^F3	$13.75	Jun 21, 2018	M	1,500	D	Aug 11, 2012	Aug 11, 2018	Common Stock	1,500	8,500	D
Non-qualified stock options (right to buy)^F3	$13.75	Jun 22, 2018	M	1,600	D	Aug 11, 2012	Aug 11, 2018	Common Stock	1,600	6,900	D
Non-qualified stock options (right to buy)^F3	$13.75	Jun 25, 2018	M	6,900	D	Aug 11, 2012	Aug 11, 2018	Common Stock	6,900	0	D
Non-qualified stock options (right to buy)^F4	$12.91	holding	—	—	—	May 23, 2013	May 23, 2019	Common Stock	20,000	20,000	D
Non-qualified stock options (right to buy)^F5	$9.95	holding	—	—	—	May 22, 2014	May 22, 2020	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F6	$13.99	holding	—	—	—	Jun 11, 2015	Jun 11, 2021	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F7	$20.27	holding	—	—	—	May 22, 2016	May 22, 2022	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F8	$18.80	holding	—	—	—	May 26, 2017	May 26, 2023	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F9	$34.40	holding	—	—	—	May 24, 2018	May 24, 2024	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F10	$50.50	holding	—	—	—	Jun 7, 2019	Jun 7, 2025	Common Stock	25,000	25,000	D

Explanation of responses

F1The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.15 to $50.50, 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.
F10Becomes exercisable in equal annual installments of 20% commencing 06/07/2019.
F2The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.905 to $50.950, 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.
F3Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
F4Becomes exercisable in equal annual installments of 20% commencing 05/23/2013.
F5Becomes exercisable in equal annual installments of 20% commencing 05/22/2014.
F6Becomes exercisable in equal annual installments of 20% commencing 06/11/2015.
F7Becomes exercisable in equal annual installments of 20% commencing 05/22/2016.
F8Becomes exercisable in equal annual installments of 20% commencing 05/26/2017.
F9Becomes exercisable in equal annual installments of 20% commencing 05/24/2018.