BEAN REX C 4

4 · MERIT MEDICAL SYSTEMS INC · Filed May 23, 2013

Form 4

Period: 2013-05-21

Director

Transactions

Exercise/Conversion
Common Stock, No Par Value
2013-05-21$9.22/sh+8,500$78,370→ 8,500 total
Sale
Common Stock, No Par Value
2013-05-21$10.08/sh−8,500$85,680→ 0 total
Exercise/Conversion
Common Stock, No Par Value
2013-05-22$9.22/sh+4,500$41,490→ 4,500 total
Sale
Common Stock, No Par Value
2013-05-22$10.10/sh−4,500$45,428→ 0 total
Exercise/Conversion
Non-qualified stock options (right to buy)
2013-05-21−8,500→ 10,250 total
Exercise: $9.22From: 2006-05-25Exp: 2013-05-25→ Common Stock (8,500 underlying)
Exercise/Conversion
Non-qualified stock options (right to buy)
2013-05-22−4,500→ 5,750 total
Exercise: $9.22From: 2006-05-25Exp: 2013-05-25→ Common Stock (4,500 underlying)
Award
Non-qualified stock options (right to buy)
2013-05-22+25,000→ 25,000 total
Exercise: $9.95From: 2014-05-22Exp: 2020-05-22→ CommonStock (25,000 underlying)

Holdings

Common Stock, No Par Value
(indirect: By Trust)
46,696
Common Stock, No Par Value
(indirect: By LLC)
158,279
Common Stock, No Par Value
(indirect: By Foundation)
500
Common Stock, No Par Value
(indirect: By Trust)
69,203
Common Stock, No Par Value
(indirect: By Trust)
35,149
Non-qualified stock options (right to buy)
Exercise: $17.34From: 2003-12-13Exp: 2013-12-13→ Common Stock (18,750 underlying)
18,750
Non-qualified stock options (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: $11.41From: 2005-05-25Exp: 2015-05-25→ 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: $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
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: $13.75From: 2012-08-11Exp: 2018-08-11→ Common Stock (20,000 underlying)
20,000
Non-qualified stock options (right to buy)
Exercise: $12.91From: 2013-05-23Exp: 2019-05-23→ Common Stock (20,000 underlying)
20,000

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 $10.08 to $10.11, 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]Becomes exercisable in equal annual installments of 20% commencing 05/22/2014.

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