SEC Form 4 · accession 0001073396-15-000001

ICU MEDICAL INC/DE · ICUI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Feb 13, 2015

Accepted (ET)

Feb 13, 2015 · 8:37 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
Common Stock	Feb 13, 2015	X	8,500	$35.00	A	10,340	D
Common Stock	Feb 13, 2015	X	1,500	$29.77	A	11,840	D
Common Stock^F1	Feb 13, 2015	S	9,611	$88.2829	D	2,229	D
Common Stock^F2	Feb 13, 2015	S	389	$88.8969	D	1,840	D

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)	$29.77	Feb 13, 2015	X	1,500	D	Jan 30, 2012	Jan 20, 2018	Common Stock	1,500	0	D
Non-Qualified Stock Option (right to buy)^F3	$35.00	Feb 13, 2015	X	8,500	D	Aug 14, 2012	Aug 14, 2017	Common Stock	8,500	0	D

F1The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $87.83 to $88.69, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
F2The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $88.84 to $88.99, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
F3Transaction is the exercise of a derivative security; see Column 2.