MERIT MEDICAL SYSTEMS INC 4

4 · MERIT MEDICAL SYSTEMS INC · Filed Mar 11, 2015

Form 4

Period: 2015-03-09

Chief Legal Officer

Transactions

Sale
Common Stock, No Par Value
2015-03-09$19.11/sh−25,000$477,698→ 9,435 total
Exercise/Conversion
Common Stock, No Par Value
2015-03-09$11.53/sh+25,000$288,250→ 34,435 total
Exercise/Conversion
Non-qualified stock options (right to buy)
2015-03-09−25,000→ 0 total
Exercise: $11.53From: 2009-05-21Exp: 2015-05-21→ Common Stock (25,000 underlying)

Holdings

Non-qualified stock options (right to buy)
Exercise: $13.14From: 2014-07-31Exp: 2020-07-31→ Common Stock (10,000 underlying)
10,000
Non-qualified stock options (right to buy)
Exercise: $12.06From: 2015-10-04Exp: 2021-10-04→ Common Stock (25,000 underlying)
25,000
Common Stock, No Par Value
643
Non-qualified stock options (right to buy)
Exercise: $13.75From: 2012-08-11Exp: 2018-08-11→ Common Stock (40,000 underlying)
40,000
Non-qualified stock options (right to buy)
Exercise: $17.27From: 2016-02-13Exp: 2022-02-13→ Common Stock (20,000 underlying)
20,000
Common Stock, No Par Value
(indirect: By 401(k))
6,624
Non-qualified stock options (right to buy)
Exercise: $9.71From: 2005-12-28Exp: 2015-12-28→ Common Stock (12,500 underlying)
12,500

Footnotes (8)

[F1]Represents plan holdings as of 03/06/2015.
[F2]Acquired under the Employee Stock Purchase Plan.
[F3]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 $19.00 to $19.29, 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.
[F4]Become exercisable in equal annual installments of 20% commencing 05/21/09.
[F5]Become exercisable in equal annual installments of 20% commencing 08/11/12.
[F6]Become exercisable in equal annual installments of 20% commencing 07/31/14.
[F7]Become exercisable in equal annual installments of 20% commencing 10/04/15.
[F8]Become exercisable in equal annual installments of 20% commencing 02/13/16.

Documents

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