SEC Form 4 · accession 0001179110-15-005184

MERIT MEDICAL SYSTEMS INC · MMSI

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

Reporting owner

Officer — Chief Financial Officer · Director

Period of report

Mar 16, 2015

Accepted (ET)

Mar 18, 2015 · 5:37 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	Mar 16, 2015	M	18,750	$11.41	A	420,841	D
Common Stock, No Par Value	Mar 16, 2015	M	43,750	$11.53	A	464,591	D
Common Stock, No Par Value^F4	Mar 16, 2015	F	44,988	$19.60	D	419,603	D
Common Stock, No Par Value^F1	holding	—	—		—	80,885	I	By 401(k) plan
Common Stock, No Par Value^F2	holding	—	—		—	4,271	D
Common Stock, No Par Value^F3	holding	—	—		—	29,524	I	Family Limited Liability Company

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)	$11.41	Mar 16, 2015	M	18,750	D	May 25, 2005	May 25, 2015	Common Stock	18,750	0	D
Non-qualified stock options (right to buy)^F5	$11.53	Mar 16, 2015	M	43,750	D	May 21, 2009	May 21, 2015	Common Stock	43,750	0	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)^F6	$13.82	holding	—	—	—	Sep 26, 2010	Sep 26, 2016	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F7	$13.75	holding	—	—	—	Aug 11, 2012	Aug 11, 2018	Common Stock	80,000	80,000	D
Non-qualified stock options (right to buy)^F8	$12.06	holding	—	—	—	Oct 4, 2015	Oct 4, 2021	Common Stock	10,000	10,000	D
Non-qualified stock options (right to buy)^F9	$17.27	holding	—	—	—	Feb 13, 2016	Feb 13, 2022	Common Stock	21,800	21,800	D

F1Represents plan holdings as of 03/17/2015.
F2Employee stock purchase plan holdings as of 03/17/2015.
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.
F4Stock options were exercised in a swap transaction with the Company. 44,988 shares of common stock were surrendered for payroll taxes and payment of the option price. No shares were sold in the open market.
F5Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
F6Becomes exercisable in equal annual installments of 20% commencing 09/26/2010.
F7Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
F8Becomes exercisable in equal annual installments of 20% commencing 10/04/2015.
F9Becomes exercisable in equal annual installments of 20% commencing 02/13/2016.