SEC Form 4 · accession 0001410578-15-000364
MERIT MEDICAL SYSTEMS INC · MMSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Greg L Barnett
Officer — Chief Accounting Officer
Period of report
Jul 30, 2015
Accepted (ET)
Aug 3, 2015 · 3:53 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 | Jul 30, 2015 | M | 12,500 | $9.71 | A | 12,500 | D | |
| Common Stock, No Par ValueF1 | Jul 30, 2015 | S | 11,500 | $25.25 | D | 1,000 | 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) | $9.71 | Jul 30, 2015 | M | 12,500 | D | Dec 28, 2005 | Dec 28, 2015 | Common Stock | 12,500 | 0 | D |
| Non-qualified stock options (right to buy)F2 | $13.75 | holding | — | — | — | Aug 11, 2012 | Aug 11, 2018 | Common Stock | 20,000 | 20,000 | 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 | 10,000 | 10,000 | D |
| Non-qualified stock options (right to buy)F5 | $17.27 | holding | — | — | — | Feb 13, 2016 | Feb 13, 2022 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1The reporting person exercised 12,500 shares of common stock, 11,500 of which were sold on the open market and 1,000 were held.
- F2Becomes exercisable in equal annual installments of 20% commencing 08/11/12.
- F3Becomes exercisable in equal annual installments of 20% commencing 07/31/14.
- F4Becomes exercisable in equal annual installments of 20% commencing 10/04/15.
- F5Becomes exercisable in equal annual installments of 20% commencing 02/13/16.