SEC Form 4 · accession 0001179110-15-002852
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rashelle Perry
Officer — Chief Legal Officer
Period of report
Feb 13, 2015
Accepted (ET)
Feb 18, 2015 · 6:51 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 | — | — | — | 6,567 | I | By 401(k)plan | |
| Common Stock, No Par ValueF2 | holding | — | — | — | 643 | D | ||
| Common Stock, No Par Value | holding | — | — | — | 9,435 | 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)F7 | $17.27 | Feb 13, 2015 | A | 20,000 | A | Feb 13, 2016 | Feb 13, 2022 | Common Stock | 20,000 | 20,000 | D |
| Non-qualified stock options (right to buy) | $9.71 | holding | — | — | — | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 12,500 | 12,500 | D |
| Non-qualified stock options (right to buy)F3 | $11.53 | holding | — | — | — | May 21, 2009 | May 21, 2015 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F4 | $13.75 | holding | — | — | — | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 40,000 | 40,000 | D |
| Non-qualified stock options (right to buy)F5 | $13.14 | holding | — | — | — | Jul 31, 2014 | Jul 31, 2020 | Common Stock | 10,000 | 10,000 | D |
| Non-qualified stock options (right to buy)F6 | $12.06 | holding | — | — | — | Oct 4, 2015 | Oct 4, 2021 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Represents plan holdings as of 02/17/2015.
- F2Acquired under the Employee Stock Purchase Plan.
- F3Become exercisable in equal annual installments of 20% commencing 05/21/09.
- F4Become exercisable in equal annual installments of 20% commencing 08/11/12.
- F5Become exercisable in equal annual installments of 20% commencing 07/31/14.
- F6Become exercisable in equal annual installments of 20% commencing 10/04/15.
- F7Become exercisable in equal annual installments of 20% commencing 02/13/16.