SEC Form 4 · accession 0001073397-15-000021
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven Riggs
Officer — VP Operations
Period of report
Aug 3, 2015
Accepted (ET)
Aug 3, 2015 · 7:08 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 | Aug 3, 2015 | X | 9,983 | $37.00 | A | 13,098 | D | |
| Common Stock | Aug 3, 2015 | S | 9,983 | $100.00 | D | 3,115 | D | |
| Common Stock | Aug 3, 2015 | X | 15,000 | $43.12 | A | 18,115 | D | |
| Common Stock | Aug 3, 2015 | S | 15,000 | $100.00 | D | 3,115 | 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)F3,F2 | $37.00 | Aug 3, 2015 | X | 9,983 | D | — | Jul 21, 2020 | Common Stock | 9,983 | 0 | D |
| Non-Qualified Stock Option (right to buy)F3,F2 | $43.12 | Aug 3, 2015 | X | 15,000 | D | — | Feb 2, 2021 | Common Stock | 15,000 | 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 May 20, 2015.
- F2Options vest and are exercisable as to 25% of the underlying grant one year after the date of grant and in equal monthly installments thereafter for three additional years.
- F3Transaction is the exercise of a derivative security; see Column 2.