Filing Details

Accession Number:
0001179110-11-008239
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-05-18 18:30:12
Reporting Period:
2011-05-13
Filing Date:
2011-05-18
Accepted Time:
2011-05-18 18:30:12
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
1184963 Rashelle Perry 1600 W. Merit Parkway
South Jordan UT 84095
Chief Legal 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 Disposition 2011-05-13 8,546 $19.00 2,508 No 4 S Indirect By 401 (k) plan
Common Stock, No Par Value Disposition 2011-05-16 2,508 $19.01 0 No 4 S Indirect By 401 (k) plan.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect By 401 (k) plan
No 4 S Indirect By 401 (k) plan.
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, No Par Value 1,958 Direct
Common Stock, No Par Value 643 Direct
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) $7.79 2004-02-06 2013-02-06 22,221 22,221 Direct
Common Stock Non-qualified stock options (right to buy) $17.34 2004-12-13 2013-12-13 8,750 8,750 Direct
Common Stock Non-qualified stock options (right to buy) $11.05 2004-06-10 2014-06-10 3,750 3,750 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 12,500 12,500 Direct
Common Stock Non-qualified stock options (right to buy) $11.53 2009-05-21 2015-05-21 25,000 25,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2013-02-06 22,221 22,221 Direct
2013-12-13 8,750 8,750 Direct
2014-06-10 3,750 3,750 Direct
2014-12-18 12,500 12,500 Direct
2015-12-28 12,500 12,500 Direct
2014-06-27 12,500 12,500 Direct
2015-05-21 25,000 25,000 Direct
Footnotes
  1. Acquired under the Employee Stock Purchase Plan of 12/31/05.
  2. Become exercisable in equal annual installments of 20% commencing 02/06/04.
  3. Become exercisable in equal annual installments of 20% commencing 12/13/04.
  4. Become exercisable in equal annual installments of 20% commencing 06/27/08.
  5. Become exercisable in equal annual installments of 20% commencing 05/21/09.
  6. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $19.0100 to $19.0101, 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.
  7. Amounts have been adjusted to reflect the 5-for-4 split of the issuer's common stock that was effected on May 5, 20ll.
  8. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.99 to $19.00, 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.
  9. Represents plan holdings as of May 13, 2011.