Filing Details

Accession Number:
0001179110-14-002828
Form Type:
5
Zero Holdings:
No
Publication Time:
2014-02-14 13:27:18
Reporting Period:
2013-12-31
Filing Date:
2014-02-14
Accepted Time:
2014-02-14 13:27:18
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
1534914 E. Nolan Karras 1600 West Merit Parkway
South Jordan UT 84095
Yes No 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 2013-05-01 2,000 $9.63 2,000 No 4 P Indirect Trustee for Revocable Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Trustee for Revocable Trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, No Par Value 4,000 Indirect By IRA
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) $12.91 2013-05-23 2019-05-23 20,000 20,000 Direct
Common Stock Non-qualified stock options (right to buy) $9.95 2014-05-22 2020-05-22 25,000 25,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2019-05-23 20,000 20,000 Direct
2020-05-22 25,000 25,000 Direct
Footnotes
  1. Becomes exercisable in equal annual installments of 20% commencing 5/23/2013.
  2. Becomes exercisable in equal annual installments of 20% commencing 5/22/2014.