SEC Form 4 · accession 0001190251-16-000016
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph R Saucedo
Director
Period of report
Aug 9, 2016
Accepted (ET)
Aug 9, 2016 · 6:12 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 9, 2016 | X | 6,500 | $35.00 | A | 8,848 | D | |
| Common Stock | Aug 9, 2016 | S | 6,500 | $125.00 | D | 2,348 | D | |
| Common Stock | Aug 9, 2016 | X | 1,500 | $29.77 | A | 3,848 | D | |
| Common Stock | Aug 9, 2016 | S | 1,500 | $125.00 | D | 2,348 | 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)F2 | $29.77 | Aug 9, 2016 | X | 1,500 | D | Jan 30, 2012 | Jan 30, 2018 | Common Stock | 1,500 | 0 | D |
| Non-Qualified Stock Option (right to buy)F2 | $35.00 | Aug 9, 2016 | X | 6,500 | D | Aug 14, 2012 | Aug 14, 2017 | Common Stock | 6,500 | 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 30, 2015.
- F2Transaction is the exercise of a derivative security; see Column 2.