SEC Form 4 · accession 0001073391-16-000010
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
Oct 6, 2016
Accepted (ET)
Oct 7, 2016 · 3:35 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000883984
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Oct 6, 2016 | X | 1,500 | $38.85 | A | 70,699 | D | |
| Common Stock | Oct 6, 2016 | S | 1,500 | $140.60 | D | 69,199 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F2 | $38.85 | Oct 6, 2016 | X | 1,500 | D | Jul 22, 2010 | Jul 22, 2019 | Common Stock | 1,500 | 0 | D |
Explanation of responses
- F1The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on August 19, 2016.
- F2Transaction is the exercise of a derivative security; see Column 2.