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MMSI Merit Medical Systems Inc

85.61
0.12 (0.14%)
Last Updated: 19:10:38
Delayed by 15 minutes
Share Name Share Symbol Market Type
Merit Medical Systems Inc NASDAQ:MMSI NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.12 0.14% 85.61 85.65 85.80 86.10 85.20 85.68 58,845 19:10:38

Annual Statement of Changes in Beneficial Ownership (5)

14/02/2022 4:28pm

Edgar (US Regulatory)


FORM 5
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

                                                                                  
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response...
1.0                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Lloyd Brian G.
2. Issuer Name and Ticker or Trading Symbol

MERIT MEDICAL SYSTEMS INC [MMSI]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
CHIEF LEGAL OFFICER, SECRETARY
(Last)          (First)          (Middle)

1600 WEST MERIT PARKWAY
3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY)
12/31/2021 
(Street)

SOUTH JORDAN, UT 84095
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed(MM/DD/YYYY)
 
6. Individual or Joint/Group Filing(Check Applicable Line)

_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date2A. Deemed Execution Date, if any3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Amount(A) or (D)Price
Common Stock, No Par Value 12/28/2021  G 1850 D$0 4846 D 
 

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YYYY)
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Non-qualified stock options (right to buy) $28.2         4/14/2018 (1)4/14/2024 Common Stock 16364  30000 D 
 
Non-qualified stock options (right to buy) $44.8         3/2/2019 (2)3/2/2025 Common Stock 25000  25000 D 
 
Non-qualified stock options (right to buy) $55.73         3/1/2020 (3)3/1/2026 Common Stock 30000  30000 D 
 
Non-qualified stock options (right to buy) $37.71         2/26/2021 (4)2/26/2027 Common Stock 16722  16722 D 
 
Non-qualified stock options (right to buy) $56.25         3/19/2022 (5)3/19/2028 Common Stock 9681  9681 D 
 

Explanation of Responses:
(1) Become exercisable in equal annual installments of 20% commencing on 04/14/2018.
(2) Become exercisable in equal annual installments of 20% commencing on 03/02/2019.
(3) Become exercisable in equal annual installments of 20% commencing on 03/01/2020.
(4) Become exercisable in equal annual installments of 25% commencing on 02/26/2021.
(5) Become exercisable in equal annual installments of 25% commencing on 03/19/2022.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Lloyd Brian G.
1600 WEST MERIT PARKWAY
SOUTH JORDAN, UT 84095


CHIEF LEGAL OFFICER, SECRETARY

Signatures
/s/ Brian G. Lloyd2/14/2022
**Signature of Reporting PersonDate

1 Year Merit Medical Systems Chart

1 Year Merit Medical Systems Chart

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