SEC Form 4 · accession 0001179110-17-008138
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Franklin J Miller
Director
Period of report
May 24, 2017
Accepted (ET)
May 26, 2017 · 4:47 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 | holding | — | — | — | 18,193 | I | By the Franklin J. Miller and Bonnie A. Miller Family Trust | |
| Common Stock, No Par Value | holding | — | — | — | 11,244 | 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 | $34.40 | May 24, 2017 | A | 25,000 | A | May 24, 2018 | May 24, 2024 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F1 | $13.75 | holding | — | — | — | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 20,000 | 20,000 | D |
| Non-qualified stock options (right to buy)F2 | $12.91 | holding | — | — | — | May 23, 2013 | May 23, 2019 | Common Stock | 20,000 | 20,000 | D |
| Non-qualified stock options (right to buy)F3 | $9.95 | holding | — | — | — | May 22, 2014 | May 22, 2020 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F4 | $13.99 | holding | — | — | — | Jun 11, 2015 | Jun 11, 2021 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F5 | $20.27 | holding | — | — | — | May 22, 2016 | May 22, 2022 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F6 | $18.80 | holding | — | — | — | May 26, 2017 | May 26, 2023 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
- F2Becomes exercisable in equal annual installments of 20% commencing 05/23/2013.
- F3Becomes exercisable in equal annual installments of 20% commencing 05/22/2014.
- F4Becomes exercisable in equal annual installments of 20% commencing 06/11/2015.
- F5Becomes exercisable in equal annual installments of 20% commencing 05/22/2016.
- F6Becomes exercisable in equal annual installments of 20% commencing 05/26/2017.
- F7Becomes exercisable in equal annual installments of 20% commencing 05/24/2018.