SEC Form 4 · accession 0001189724-16-000015
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott E Lamb
Officer — Secretary, Treasurer,
Period of report
Mar 31, 2016
Accepted (ET)
Mar 31, 2016 · 7:03 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 31, 2016 | X | 15,000 | $37.00 | A | 19,381 | D | |
| Common Stock | Mar 31, 2016 | S | 15,000 | $105.00 | D | 4,381 | D | |
| Common Stock | Mar 31, 2016 | X | 15,000 | $32.31 | A | 19,381 | D | |
| Common Stock | Mar 31, 2016 | S | 15,000 | $105.00 | D | 4,381 | D | |
| Common Stock | Mar 31, 2016 | X | 14,026 | $38.85 | A | 18,407 | D | |
| Common Stock | Mar 31, 2016 | S | 14,026 | $105.00 | D | 4,381 | 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 | $32.31 | Mar 31, 2016 | X | 15,000 | D | — | Feb 4, 2020 | Common Stock | 15,000 | 0 | D |
| Non-Qualified Stock Option (right to buy)F3,F2 | $37.00 | Mar 31, 2016 | X | 15,000 | D | — | Jul 21, 2020 | Common Stock | 15,000 | 0 | D |
| Non-Qualified Stock Option (right to buy)F3,F2 | $38.85 | Mar 31, 2016 | X | 14,026 | D | — | Jul 22, 2019 | Common Stock | 14,026 | 0 | 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 November 23, 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.