Filing Details

Accession Number:
0001179110-12-013784
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-09-07 16:30:41
Reporting Period:
2012-09-06
Filing Date:
2012-09-07
Accepted Time:
2012-09-07 16:30:41
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
856982 Merit Medical Systems Inc MMSI Surgical & Medical Instruments & Apparatus (3841) 870447695
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1382939 D Arlin Nelson 1600 W. Merit Parkway
South Jordan UT 84095
Chief Operating Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, No Par Value Acquisiton 2012-09-06 11,111 $7.79 11,411 No 4 M Direct
Common Stock, No Par Value Disposition 2012-09-06 11,111 $14.61 300 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Non-qualified Stock Options (right to buy) Disposition 2012-09-06 11,111 $0.00 11,111 $7.79
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2003-02-06 2013-02-06 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, No Par Value 928 Indirect By 401(k) Plan
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Non-qualified Stock Options (right to buy) $17.34 2003-12-13 2013-12-13 4,375 4,375 Direct
Common Stock Non-qualified Stock Options (right to buy) $11.05 2004-06-10 2014-06-10 1,875 1,875 Direct
Common Stock Non-qualified Stock Options (right to buy) $12.02 2004-12-18 2014-12-18 12,500 12,500 Direct
Common Stock Non-qualified Stock Options (right to buy) $9.71 2005-12-28 2015-12-28 12,500 12,500 Direct
Common Stock Non-qualified Stock Options (right to buy) $9.70 2008-06-27 2014-06-27 25,000 25,000 Direct
Common Stock Non-qualified stock options (right to buy) $11.53 2009-05-21 2015-05-21 31,250 31,250 Direct
Common Stock Non-qualified stock options (right to buy) $13.75 2012-08-11 2018-08-11 25,000 25,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2013-12-13 4,375 4,375 Direct
2014-06-10 1,875 1,875 Direct
2014-12-18 12,500 12,500 Direct
2015-12-28 12,500 12,500 Direct
2014-06-27 25,000 25,000 Direct
2015-05-21 31,250 31,250 Direct
2018-08-11 25,000 25,000 Direct
Footnotes
  1. Represents plan holdings as of 09/06/12.
  2. Becomes exercisable in equal annual installments of 20% commencing 06/27/08.
  3. Becomes exercisable in equal annual installments of 20% commencing 05/21/09.
  4. Becomes exercisable in equal annual installments of 20% commencing 08/11/12.
  5. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $14.54 to $14.67, 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.