Filing Details
- Accession Number:
- 0001179110-10-017629
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2010-12-16 12:10:19
- Reporting Period:
- 2010-12-15
- Filing Date:
- 2010-12-16
- Accepted Time:
- 2010-12-16 12:10:19
- 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 |
|---|---|---|---|---|---|---|---|
| 901534 | P Fred Lampropoulos | 1600 W Merit Parkway South Jordan UT 84095 | President & Ceo | Yes | 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 | Disposition | 2010-12-15 | 5,000 | $15.71 | 745,369 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Common Stock, No Par Value | 64,908 | 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) | $2.85 | 2001-05-23 | 2011-05-23 | 27,777 | 27,777 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $7.61 | 2002-12-08 | 2011-12-08 | 88,889 | 88,889 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $9.56 | 2002-05-23 | 2012-05-23 | 17,777 | 17,777 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $9.74 | 2004-02-06 | 2013-02-06 | 71,111 | 71,111 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $10.47 | 2003-05-22 | 2013-05-22 | 26,667 | 26,667 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $21.67 | 2004-12-13 | 2013-12-13 | 28,000 | 28,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $21.67 | 2003-12-13 | 2013-12-13 | 15,000 | 15,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $13.81 | 2004-06-10 | 2014-06-10 | 15,000 | 15,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $13.81 | 2004-06-10 | 2014-06-10 | 12,000 | 12,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $15.03 | 2004-12-18 | 2014-12-18 | 40,000 | 40,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $14.26 | 2005-05-25 | 2015-05-25 | 15,000 | 15,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $17.99 | 2005-07-15 | 2015-07-15 | 75,000 | 75,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $12.14 | 2005-12-28 | 2015-12-28 | 40,000 | 40,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $11.52 | 2007-05-25 | 2013-05-25 | 15,000 | 15,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $12.13 | 2008-06-27 | 2014-06-27 | 40,000 | 40,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $12.13 | 2008-06-27 | 2014-06-27 | 15,000 | 15,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $14.41 | 2009-05-21 | 2015-05-21 | 55,000 | 55,000 | Direct |
| Common Stock | Non-qualified stock options (right to buy) | $17.28 | 2010-09-26 | 2016-09-26 | 20,000 | 20,000 | Direct |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 2011-05-23 | 27,777 | 27,777 | Direct |
| 2011-12-08 | 88,889 | 88,889 | Direct |
| 2012-05-23 | 17,777 | 17,777 | Direct |
| 2013-02-06 | 71,111 | 71,111 | Direct |
| 2013-05-22 | 26,667 | 26,667 | Direct |
| 2013-12-13 | 28,000 | 28,000 | Direct |
| 2013-12-13 | 15,000 | 15,000 | Direct |
| 2014-06-10 | 15,000 | 15,000 | Direct |
| 2014-06-10 | 12,000 | 12,000 | Direct |
| 2014-12-18 | 40,000 | 40,000 | Direct |
| 2015-05-25 | 15,000 | 15,000 | Direct |
| 2015-07-15 | 75,000 | 75,000 | Direct |
| 2015-12-28 | 40,000 | 40,000 | Direct |
| 2013-05-25 | 15,000 | 15,000 | Direct |
| 2014-06-27 | 40,000 | 40,000 | Direct |
| 2014-06-27 | 15,000 | 15,000 | Direct |
| 2015-05-21 | 55,000 | 55,000 | Direct |
| 2016-09-26 | 20,000 | 20,000 | Direct |
Footnotes
- The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.65 to $15.76, 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 footnote (1) to this Form 4.
- Represents plan holdings as of December 14, 2010.
- Becomes exercisable in equal annual installments of 20% commencing 12/8/2002.
- Becomes exercisable in equal annual installments of 20% commencing 2/6/2004.
- Becomes exercisable in equal annual installments of 20% commencing 12/13/2004.
- Becomes exercisable in equal annual installments of 33.33% commencing 5/25/2007.
- Becomes exercisable in equal annual installments of 20% commencing 6/27/2008.
- Becomes exercisable in equal annual installments of 20% commencing 5/21/2009.
- Becomes exercisable in equal annual installments of 20% commencing 9/26/2010.
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