SEC Form 4/A · accession 0001179110-15-016444
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Fred P Lampropoulos
Officer — President & CEO · Director
Period of report
Dec 28, 2005
Accepted (ET)
Dec 17, 2015 · 6:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000856982
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Nonqualified stock option (right to buy)F2,F1 | $12.14 | Dec 28, 2005 | A | 40,000 | A | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 40,000 | 40,000 | D |
| Nonqualified stock option (right to buy)F3 | $12.14 | Dec 28, 2005 | A | 2,500 | A | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 2,500 | 2,500 | I |
Explanation of responses
- F1Reporting owner owns no other derivative securities containing identical terms to those in this reported transaction
- F2This Amendment is filed to correct the price of the derivative security.
- F3This Amendment is also filed to report the granting of stock options to the reporting person's spouse. The reporting person expressly disclaims beneficial ownership of the securities owned by his spouse