Filing Details
- Accession Number:
- 0001179110-11-008499
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2011-05-23 16:38:46
- Reporting Period:
- 2011-05-19
- Filing Date:
- 2011-05-23
- Accepted Time:
- 2011-05-23 16:38:46
- 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 | Acquisiton | 2011-05-19 | 164 | $7.79 | 3,291 | No | 4 | M | Direct | |
| Common Stock, No Par Value | Disposition | 2011-05-19 | 115 | $18.75 | 3,176 | 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 | 2011-05-19 | 164 | $0.00 | 164 | $7.79 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 18,594 | 2004-02-06 | 2013-02-06 | No | 4 | M | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Common Stock, No Par Value | 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) | $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 |
|---|---|---|---|
| 2013-12-13 | 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
- Acquired under the Employee Stock Purchase Plan of 12/31/05.
- Become exercisable in equal annual installments of 20% commencing 02/06/04.
- Become exercisable in equal annual installments of 20% commencing 12/13/04.
- Become exercisable in equal annual installments of 20% commencing 06/27/08.
- Become exercisable in equal annual installments of 20% commencing 05/21/09.
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