SEC Form 4 · accession 0001073393-15-000001
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack Brown
Director
Period of report
Jan 5, 2015
Accepted (ET)
Jan 5, 2015 · 6:52 pm EST
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 | Jan 5, 2015 | X | 1,875 | $31.195 | A | 21,543 | D | |
| Common Stock | Jan 5, 2015 | F | 730 | $80.14 | D | 20,813 | 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) | $31.195 | Jan 5, 2015 | X | 1,875 | D | Oct 16, 2004 | Apr 16, 2015 | Common Stock | 1,875 | 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 November 26, 2014.