SEC Form 4 · accession 0001073391-16-000007
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard Sherman M.D.
Director
Period of report
May 16, 2016
Accepted (ET)
May 18, 2016 · 4:41 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000883984
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | — | May 16, 2016 | A | 743 | A | May 16, 2017 | May 16, 2017 | Common Stock | 743 | 743 | D |
| Non-Qualified Stock Option (right to buy) | $101.06 | May 16, 2016 | A | 2,424 | A | May 16, 2017 | May 16, 2026 | Common Stock | 2,424 | 2,424 | D |
Explanation of responses
- F1These securities are Restricted Stock Units.
- F2There is neither a purchase price nor an exercise price for the Restricted Stock Units.