SEC Form 4 · accession 0001073391-17-000001
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
Mar 14, 2017
Accepted (ET)
Mar 14, 2017 · 6:17 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 | Mar 14, 2017 | X | 1,500 | $32.40 | A | 70,699 | D | |
| Common StockF1 | Mar 14, 2017 | S | 1,500 | $152.20 | D | 69,199 | D | |
| Common Stock | Mar 14, 2017 | X | 1,500 | $37.36 | A | 70,699 | D | |
| Common StockF1 | Mar 14, 2017 | S | 1,500 | $152.20 | 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 | $32.40 | Mar 14, 2017 | X | 1,500 | D | Feb 3, 2011 | Feb 3, 2020 | Common Stock | 1,500 | 0 | D |
| Non-Qualified Stock Option (right to buy)F2 | $37.36 | Mar 14, 2017 | X | 1,500 | D | Oct 21, 2010 | Oct 21, 2019 | Common Stock | 1,500 | 0 | D |
Explanation of responses
- F1All shares sold were sold at the exact price disclosed.
- F2Transaction is the exercise of a derivative security; see Column 2.