SEC Form 4 · accession 0001189727-15-000002
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alison D Burcar
Officer — Vice President and Gen'l Mgr.
Period of report
Feb 11, 2015
Accepted (ET)
Feb 13, 2015 · 6:02 pm EST
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,F3 | $0.00 | Feb 11, 2015 | A | 3,549 | A | — | Feb 11, 2018 | Common Stock | 3,549 | 3,549 | D |
| Non-Qualified Stock Option (right to buy)F4 | $88.76 | Feb 11, 2015 | A | 13,219 | A | — | Feb 11, 2025 | Common Stock | 13,219 | 13,219 | 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.
- F3One third of the Units subject to the award shall vest on each of the first, second, and third anniversaries of the grant date.
- F4One-third of the shares shall vest on each of the first, second, and third anniversaries of the grant date. The vested shares shall become exercisable if, during the term of the option, the closing price of the Company's common stock is equal to or more than one-hundred and thirty percent of the exercise price per share for thirty consecutive trading days. The appreciation must occur within four years from the grant date.