SEC Form 4 · accession 0001375852-18-000002
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott E Lamb
Officer — Chief Financial Officer,
Period of report
Jan 4, 2018
Accepted (ET)
Jan 4, 2018 · 7:49 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 | Jan 4, 2018 | X | 23,624 | $61.76 | A | 29,723 | D | |
| Common StockF2 | Jan 4, 2018 | S | 23,624 | $220.00 | D | 6,099 | 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)F4,F3 | $61.76 | Jan 4, 2018 | X | 23,624 | D | — | Feb 6, 2023 | Common Stock | 23,624 | 0 | D |
Explanation of responses
- F1The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on December 28, 2017.
- F2All shares sold were sold at the exact price disclosed.
- F3Options 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.
- F4Transaction is the exercise of a derivative security; see Column 2.