SEC Form 4 · accession 0001179110-15-002850
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Martin R Stephens
Officer — Executive V.P. of Sales
Period of report
Feb 13, 2015
Accepted (ET)
Feb 18, 2015 · 6:50 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 | — | — | — | 19,174 | I | By 401(k) Plan |
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)F4 | $17.27 | Feb 13, 2015 | A | 10,000 | A | Feb 13, 2016 | Feb 13, 2022 | Common Stock | 10,000 | 10,000 | D |
| Non-qualified stock options (right to buy)F2 | $13.75 | holding | — | — | — | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 20,000 | 20,000 | D |
| Non-qualified stock options (right to buy)F3 | $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.
- F2Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
- F3Becomes exercisable in equal annual installments of 20% commencing 10/04/2015.
- F4Becomes exercisable in equal annual installments of 20% commencing 02/13/2016.