SEC Form 4 · accession 0001073397-17-000002
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
George A Lopez
Director · 10% Owner
Period of report
Mar 8, 2017
Accepted (ET)
Mar 8, 2017 · 5:46 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 | Mar 8, 2017 | X | 15,000 | $37.00 | A | 525,716 | D | |
| Common Stock | Mar 8, 2017 | X | 40,000 | $43.12 | A | 565,716 | D | |
| Common Stock | holding | — | — | — | 986,843 | I | by Partnership |
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)F1,F2 | $37.00 | Mar 8, 2017 | X | 15,000 | D | Jul 21, 2014 | Jul 21, 2020 | Common Stock | 15,000 | 0 | D |
| Non-Qualified Stock Option (right to buy)F1,F2 | $43.12 | Mar 8, 2017 | X | 40,000 | D | — | Feb 2, 2021 | Common Stock | 40,000 | 0 | D |
Explanation of responses
- F1This transaction was a cash exercise.
- 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.