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

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
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 *

Millner F. Ann
2. Issuer Name and Ticker or Trading Symbol

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

__X__ Director                    _____ 10% Owner
_____ Officer (give title below)    _____ Other (specify below)
(Last)          (First)          (Middle)

1600 WEST MERIT PARKWAY
3. Date of Earliest Transaction (MM/DD/YYYY)

3/15/2021
(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. Date 2A. Deemed Execution Date, if any 3. 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)
Code V Amount (A) or (D) Price
Common Stock, No Par Value 3/15/2021  M  4246 A$21.98 15476 D 
 
Common Stock, No Par Value 3/15/2021  F  1552 D$60.15 13924 D 
 

Table II - Derivative Securities 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 Date7. 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 Following Reported Transaction(s) (Instr. 4)10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Non-qualified stock options (right to buy) $21.98 3/15/2021  M/K     4246 (1) 7/16/2016 (2)7/16/2022 Common Stock 4246 (1)$0 0 D 
 
Restricted Stock Unit  (3)           (3)6/22/2021 Common Stock 4188  4188 D 
 
Non-qualified stock options (right to buy) $18.8           5/26/2017 (4)5/26/2023 Common Stock 10000  10000 D 
 
Non-qualified stock options (right to buy) $34.4           5/24/2018 (5)5/24/2024 Common Stock 20000  20000 D 
 
Non-qualified stock options (right to buy) $50.5           6/7/2019 (6)6/7/2025 Common Stock 25000  25000 D 
 
Non-qualified stock options (right to buy) $52.17           5/24/2020 (7)5/24/2026 Common Stock 13750  13750 D 
 
Non-qualified stock options (right to buy) $52.17           5/31/2020 (8)5/31/2026 Common Stock 7500  7500 D 
 

Explanation of Responses:
(1) In the Reporting Person's Form 4 filed on June 24, 2020, the number of these options was incorrectly listed at 4,264 when the correct number of options was 4,246.
(2) Becomes exercisable in equal annual installments of 20% commencing 07/16/2016.
(3) Each restricted stock unit represents a contingent right to receive one share of the Issuer's Common Stock upon vesting.
(4) Becomes exercisable in equal annual installments of 20% commencing 05/26/2017.
(5) Becomes exercisable in equal annual installments of 20% commencing 05/24/2018.
(6) Becomes exercisable in equal annual installments of 20% commencing 06/07/2019.
(7) Becomes exercisable in equal annual installments of 33% commencing 05/24/2020.
(8) Becomes exercisable in equal annual installments of 33% commencing 05/31/2020.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Millner F. Ann
1600 WEST MERIT PARKWAY
SOUTH JORDAN, UT 84095
X



Signatures
/s/ Brian G. Lloyd, Attorney-in-Fact3/17/2021
**Signature of Reporting PersonDate

Merit Medical Systems (NASDAQ:MMSI)
Historical Stock Chart
From Aug 2024 to Sep 2024 Click Here for more Merit Medical Systems Charts.
Merit Medical Systems (NASDAQ:MMSI)
Historical Stock Chart
From Sep 2023 to Sep 2024 Click Here for more Merit Medical Systems Charts.