SEC Form 4 · accession 0001179110-17-012269
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kent W Stanger
Director
Period of report
Sep 11, 2017
Accepted (ET)
Sep 13, 2017 · 5:58 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 | Sep 11, 2017 | M | 1,930 | $13.75 | A | 413,464 | D | |
| Common Stock, No Par ValueF4 | Sep 11, 2017 | S | 1,930 | $42.021 | D | 411,534 | D | |
| Common Stock, No Par ValueF1 | holding | — | — | — | 42,277 | I | By 401(k) plan | |
| Common Stock, No Par ValueF2 | holding | — | — | — | 4,271 | D | ||
| Common Stock, No Par ValueF3 | holding | — | — | — | 29,524 | I | Family Limited Liability Company |
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)F5 | $13.75 | Sep 11, 2017 | M | 1,930 | D | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 1,930 | 54,670 | D |
| Non-qualified stock options (right to buy)F6 | $12.06 | holding | — | — | — | Oct 4, 2015 | Oct 4, 2021 | Common Stock | 2,000 | 2,000 | D |
| Non-qualified stock options (right to buy)F7 | $19.72 | holding | — | — | — | May 2, 2017 | May 2, 2023 | Common Stock | 9,375 | 9,375 | D |
| Non-qualified stock options (right to buy)F8 | $18.80 | holding | — | — | — | May 26, 2017 | May 26, 2023 | Common Stock | 25,000 | 25,000 | D |
| Non-qualified stock options (right to buy)F9 | $34.40 | holding | — | — | — | May 24, 2018 | May 24, 2024 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Represents plan holdings as of 09/11/2017.
- F2Employee stock purchase plan holdings as of 09/11/2017.
- 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.
- F4The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $42.00 to 42.05, inclusive. The Reporting Person undertakes to provide to Merit Medical Systems, Inc., any security holder of Merit Medical Systems, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F5Becomes exercisable in equal annual installments of 20% commencing on 08/11/2012.
- F6Becomes exercisable in equal annual installments of 20% commencing on 10/04/2015.
- F7Becomes exercisable in equal annual installments of 20% commencing on 05/02/2017.
- F8Becomes exercisable in equal annual installments of 20% commencing on 05/26/2017.
- F9Becomes exercisable in equal annual installments of 20% commencing on 05/24/2018.