SEC Form 4 · accession 0001073396-15-000002
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John J Connors
Director
Period of report
Jun 15, 2015
Accepted (ET)
Jun 16, 2015 · 2:45 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000883984
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | — | Jun 15, 2015 | A | 792 | A | Jun 15, 2016 | Jun 15, 2016 | Common Stock | 792 | 792 | D |
| Non-Qualified Stock Option (right to buy) | $94.68 | Jun 15, 2015 | A | 2,914 | A | Jun 15, 2016 | Jun 15, 2025 | Common Stock | 2,914 | 2,914 | D |
Explanation of responses
- F1These securities are Restricted Stock Units.
- F2There is neither a purchase price nor an exercise price for the Restricted Stock Units.