SEC Form 4 · accession 0001189724-16-000013
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
Mar 21, 2016
Accepted (ET)
Mar 21, 2016 · 6:37 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 | Mar 21, 2016 | X | 20,000 | $46.53 | A | 21,378 | D | |
| Common Stock | Mar 21, 2016 | S | 20,000 | $100.00 | D | 1,378 | 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 | $46.53 | Mar 21, 2016 | X | 20,000 | D | — | Feb 1, 2022 | Common Stock | 20,000 | 683 | D |
Explanation of responses
- F1The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 17,2016.
- 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.