MERIT MEDICAL SYSTEMS INC 4

4 · MERIT MEDICAL SYSTEMS INC · Filed Dec 23, 2014

Form 4

Period: 2014-12-22

Executive V.P. of Sales

Transactions

Exercise/Conversion
Common Stock, No Par Value
2014-12-22$11.53/sh+14,999$172,938→ 14,999 total
Sale
Common Stock, No Par Value
2014-12-22$16.75/sh−14,999$251,278→ 0 total
Exercise/Conversion
Non-qualified stock options (right to buy)
2014-12-22−14,999→ 0 total
Exercise: $11.53From: 2009-05-21Exp: 2015-05-21→ Common Stock (14,999 underlying)

Holdings

Common Stock, No Par Value
(indirect: By 401(k))
18,538
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: $12.06From: 2015-10-04Exp: 2021-10-04→ Common Stock (10,000 underlying)
10,000

Footnotes (5)

[F1]Represents plan holdings as of 12/22/2014.
[F2]The price reported in Column 4 of Table 1 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.750 to $16.795, 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.
[F3]Becomes exercisable in equal annual installments of 20% commencing 05/21/2009.
[F4]Becomes exercisable in equal annual installments of 20% commencing 08/11/2012.
[F5]Becomes exercisable in equal annual installments of 20% commencing 10/04/2015.

Documents

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