SEC Form 4 · accession 0001179110-15-015584
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bernard Birkett
Officer — Chief Financial Officer
Period of report
Nov 30, 2015
Accepted (ET)
Dec 2, 2015 · 4:29 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 Value | Nov 30, 2015 | M | 3,750 | $9.71 | A | 4,825 | D | |
| Common Stock, No Par Value | Nov 30, 2015 | S | 3,750 | $19.31 | D | 1,075 | 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) | $9.71 | Nov 30, 2015 | M | 3,750 | D | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 3,750 | 0 | D |
| Non-qualified stock options (right to buy)F1 | $13.75 | holding | — | — | — | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 10,000 | 10,000 | D |
| Non-qualified stock options (right to buy)F2 | $12.06 | holding | — | — | — | Oct 4, 2015 | Oct 4, 2021 | Common Stock | 10,000 | 10,000 | D |
| Non-qualified stock options (right to buy)F3 | $17.27 | holding | — | — | — | Feb 13, 2016 | Feb 13, 2022 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Becomes exercisable in equal annual installments of 20% commencing 08/11/12.
- F2Becomes exercisable in equal annual installments of 20% commencing 10/04/15.
- F3Becomes exercisable in equal annual installments of 20% commencing 02/13/16.