SEC Form 4 · accession 0001179110-16-018211

MERIT MEDICAL SYSTEMS INC · MMSI

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

Reporting owner

Officer — Chief Operating Officer

Period of report

Jan 28, 2016

Accepted (ET)

Feb 1, 2016 · 5:53 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^F1	holding	—	—		—	15,953	I	By 401(k) plan

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)^F6	$16.05	Jan 28, 2016	A	20,000	A	Jan 28, 2017	Jan 28, 2023	Common Stock	20,000	20,000	D
Non-qualified stock options (right to buy)^F2	$13.75	holding	—	—	—	Aug 11, 2012	Aug 11, 2018	Common Stock	15,000	15,000	D
Non-qualified stock options (right to buy)^F3	$13.14	holding	—	—	—	Jul 31, 2014	Jul 31, 2020	Common Stock	10,000	10,000	D
Non-qualified stock options (right to buy)^F4	$12.06	holding	—	—	—	Oct 4, 2015	Oct 4, 2021	Common Stock	25,000	25,000	D
Non-qualified stock options (right to buy)^F5	$17.27	holding	—	—	—	Feb 13, 2016	Feb 13, 2022	Common Stock	20,000	20,000	D