SEC Form 4 · accession 0001179110-15-002849
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kent W Stanger
Officer — Chief Financial Officer · Director
Period of report
Feb 13, 2015
Accepted (ET)
Feb 18, 2015 · 6:49 pm EST
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 ValueF1 | holding | — | — | — | 80,617 | I | By 401(k) plan | |
| Common Stock, No Par ValueF2 | holding | — | — | — | 4,271 | D | ||
| Common Stock, No Par ValueF3 | holding | — | — | — | 29,524 | I | Family Limited Liability Company | |
| Common Stock, No Par Value | holding | — | — | — | 402,091 | D |
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)F8 | $17.27 | Feb 13, 2015 | A | 21,800 | A | Feb 13, 2016 | Feb 13, 2022 | Common Stock | 21,800 | 21,800 | D |
| Non-qualified stock options (right to buy) | $11.41 | holding | — | — | — | May 25, 2005 | May 25, 2015 | Common Stock | 18,750 | 18,750 | D |
| Non-qualified stock options (right to buy) | $9.71 | holding | — | — | — | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F4 | $11.53 | holding | — | — | — | May 21, 2009 | May 21, 2015 | Common Stock | 43,750 | 43,750 | D |
| Non-qualified stock options (right to buy)F5 | $13.82 | holding | — | — | — | Sep 26, 2010 | Sep 26, 2016 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F6 | $13.75 | holding | — | — | — | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 80,000 | 80,000 | D |
| Non-qualified stock options (right to buy)F7 | $12.06 | holding | — | — | — | Oct 4, 2015 | Oct 4, 2021 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Represents plan holdings as of 02/17/2015.
- F2Employee stock purchase plan holdings as of 02/17/2015.
- F3This report shall not be deemed an admission that the reporting person is the beneficial owner of the securities held by K.W.S. Properties LC.
- F4Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
- F5Becomes exercisable in equal annual installments of 20% commencing 09/26/2010.
- F6Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
- F7Becomes exercisable in equal annual installments of 20% commencing 10/04/2015.
- F8Becomes exercisable in equal annual installments of 20% commencing 02/13/2016.