SEC Form 4 · accession 0001073393-15-000009
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack Brown
Director
Period of report
Jul 6, 2015
Accepted (ET)
Jul 7, 2015 · 3:23 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 | Jul 6, 2015 | F | 1,028 | $95.77 | D | 17,125 | D | |
| Common Stock | Jul 6, 2015 | X | 1,875 | $22.685 | A | 19,000 | 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 | $22.685 | Jul 6, 2015 | X | 1,875 | D | Apr 19, 2005 | Oct 19, 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.
- F2Transaction is the exercise of a derivative security; see Column 2.