SEC Form 4/A · accession 0001179110-18-008153
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
Aug 11, 2011
Accepted (ET)
Jun 6, 2018 · 4:44 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 ValueF1 | holding | — | — | — | 82,986 | I | By 401(k) Plan | |
| Common Stock, No Par ValueF8 | holding | — | — | — | 1,008,238 | 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)F9 | $13.75 | Aug 11, 2011 | A | 120,000 | A | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 120,000 | 120,000 | D |
| Non-qualified stock options (right to buy)F10,F9 | $13.75 | Aug 11, 2011 | A | 2,500 | A | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 2,500 | 2,500 | I |
| Non-qualified stock options (right to buy)F8 | $7.65 | holding | — | — | — | May 23, 2002 | May 23, 2012 | Common Stock | 22,221 | 22,221 | D |
| Non-qualified stock options (right to buy)F8,F2 | $7.79 | holding | — | — | — | Feb 6, 2004 | Feb 6, 2013 | Common Stock | 88,889 | 88,889 | D |
| Non-qualified stock options (right to buy)F8 | $8.38 | holding | — | — | — | May 22, 2003 | May 22, 2013 | Common Stock | 33,334 | 33,334 | D |
| Non-qualified stock options (right to buy)F8,F3 | $17.34 | holding | — | — | — | Dec 13, 2004 | Dec 13, 2013 | Common Stock | 35,000 | 35,000 | D |
| Non-qualified stock options (right to buy)F8 | $17.34 | holding | — | — | — | Dec 13, 2003 | Dec 13, 2013 | Common Stock | 18,750 | 18,750 | D |
| Non-qualified stock options (right to buy)F8 | $11.05 | holding | — | — | — | Jun 10, 2004 | Jun 10, 2014 | Common Stock | 18,750 | 18,750 | D |
| Non-qualified stock options (right to buy)F8 | $11.05 | holding | — | — | — | Jun 10, 2004 | Jun 10, 2014 | Common Stock | 15,000 | 15,000 | D |
| Non-qualified stock options (right to buy)F8 | $12.02 | holding | — | — | — | Dec 18, 2004 | Dec 18, 2014 | Common Stock | 50,000 | 50,000 | D |
| Non-qualified stock options (right to buy)F8 | $11.41 | holding | — | — | — | May 25, 2005 | May 25, 2015 | Common Stock | 18,750 | 18,750 | D |
| Non-qualified stock options (right to buy)F8 | $14.39 | holding | — | — | — | Jul 15, 2005 | Jul 15, 2015 | Common Stock | 93,750 | 93,750 | D |
| Non-qualified stock options (right to buy)F8 | $9.71 | holding | — | — | — | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 50,000 | 50,000 | D |
| Non-qualified stock options (right to buy)F8,F4 | $9.22 | holding | — | — | — | May 25, 2007 | May 25, 2013 | Common Stock | 18,750 | 18,750 | D |
| Non-qualified stock options (right to buy)F8,F5 | $9.70 | holding | — | — | — | Jun 27, 2008 | Jun 27, 2014 | Common Stock | 50,000 | 50,000 | D |
| Non-qualified stock options (right to buy)F8,F5 | $9.70 | holding | — | — | — | Jun 27, 2008 | Jun 27, 2014 | Common Stock | 18,750 | 18,750 | D |
| Non-qualified stock options (right to buy)F8,F6 | $11.53 | holding | — | — | — | May 21, 2009 | May 21, 2015 | Common Stock | 68,750 | 68,750 | D |
| Non-qualified stock options (right to buy)F8,F7 | $13.82 | holding | — | — | — | Sep 26, 2010 | Sep 26, 2016 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1Represents plan holdings as of 8/11/2011.
- F10This Amendment is 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.
- F2Becomes exercisable in equal annual installments of 20% commencing 2/6/2004.
- F3Becomes exercisable in equal annual installments of 20% commencing 12/13/2004.
- F4Becomes exercisable in equal annual installments of 33.33% commencing 5/25/2007.
- F5Becomes exercisable in equal annual installments of 20% commencing 6/27/2008.
- F6Becomes exercisable in equal annual installments of 20% commencing 5/21/2009.
- F7Becomes exercisable in equal annual installments of 20% commencing 9/26/2010.
- F8Amounts have been adjusted to reflect the 5-for-4 split of the issuer's common stock that was effected on May 5, 20ll.
- F9Becomes exercisable in equal annual installments of 20% commencing 8/11/2012.