BEAN REX C 4

4 · MERIT MEDICAL SYSTEMS INC · Filed Sep 21, 2012

Insider Transaction Report

Form 4

Period: 2012-09-19

MERIT MEDICAL SYSTEMS INCMMSI

BEAN REX C

Director

Transactions

Sale
Common Stock, No Par Value
2012-09-20$15.00/sh−26,801$402,015→ 0 total
Exercise/Conversion
Non-qualified stock options (right to buy)
2012-09-19−5,977→ 26,801 total
Exercise: $8.38From: 2003-05-22Exp: 2013-05-22→ Common Stock (5,977 underlying)
Sale
Common Stock, No Par Value
2012-09-19$15.11/sh−5,977$90,312→ 0 total
Exercise/Conversion
Common Stock, No Par Value
2012-09-19$8.38/sh+5,977$50,087→ 5,977 total
Exercise/Conversion
Common Stock, No Par Value
2012-09-20$8.38/sh+26,801$224,592→ 26,801 total
Exercise/Conversion
Non-qualified stock options (right to buy)
2012-09-20−26,801→ 0 total
Exercise: $8.38From: 2003-05-22Exp: 2013-05-22→ Common Stock (26,801 underlying)

Holdings

Non-qualified stock options (right to buy)
Exercise: $11.41From: 2005-05-25Exp: 2015-05-25→ Common Stock (18,750 underlying)
18,750
Non-qualified stock options (right to buy)
Exercise: $9.22From: 2006-05-25Exp: 2013-05-25→ Common Stock (18,750 underlying)
18,750
Common Stock, No Par Value
(indirect: By LLC)
158,279
Common Stock, No Par Value
(indirect: By Foundation)
500
Non-qualified stock optons (right to buy)
Exercise: $11.05From: 2004-06-10Exp: 2014-06-10→ Common Stock (18,750 underlying)
18,750
Non-qualified stock options (right to buy)
Exercise: $9.70From: 2008-06-27Exp: 2014-06-27→ Common Stock (18,750 underlying)
18,750
Non-qualified stock options (right to buy)
Exercise: $13.16From: 2011-06-25Exp: 2017-06-25→ Common Stock (25,000 underlying)
25,000
Non-qualified stock options (right to buy)
Exercise: $12.91From: 2013-05-23Exp: 2019-05-23→ Common Stock (20,000 underlying)
20,000
Non-qualified stock options (right to buy)
Exercise: $13.75From: 2012-08-11Exp: 2018-08-11→ Common Stock (20,000 underlying)
20,000
Common Stock, No Par Value
(indirect: By Trust)
60,696
Common Stock, No Par Value
(indirect: By Trust)
35,149
Non-qualified stock options (right to buy)
Exercise: $11.53From: 2009-05-21Exp: 2015-05-21→ Common Stock (18,750 underlying)
18,750
Non-qualified stock options (right to buy)
Exercise: $13.82From: 2010-09-26Exp: 2016-09-26→ Common Stock (25,000 underlying)
25,000
Common Stock, No Par Value
(indirect: By Trust)
55,203
Non-qualified stock options (right to buy)
Exercise: $17.34From: 2003-12-13Exp: 2013-12-13→ Common Stock (18,750 underlying)
18,750

Footnotes (8)

[F1]Becomes exercisable in equal annual installments of 20% commencing 06/27/2008.
[F2]Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
[F3]Becomes exercisable in equal annual installments of 20% commencing 09/26/2010.
[F4]Becomes exercisable in equal annual installments of 20% commencing 06/25/2011.
[F5]Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
[F6]Becomes exercisable in equal annual installments of 20% commencing 05/23/2013.
[F7]The price reported in the second line of Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.10 to $15.12, 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.
[F8]The price reported in the fourth line of Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $15.00 to $15.01, 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.

Documents

1 file

4
edgar.xmlPrimary
FORM 4 -