SEC Form 4 · accession 0001410442-18-000007
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Vivek Jain
Officer — Chairman and CEO · Director
Period of report
Mar 6, 2018
Accepted (ET)
Mar 14, 2018 · 3:58 pm EDT
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 | — | Mar 6, 2018 | A | 8,043 | A | — | Mar 6, 2021 | Common Stock | 8,043 | 8,043 | 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.
Remarks
In addition, the compensation committee of the Issuer approved performance-based RSUs for the Reporting person, which are contingent upon the attainment of certain performance criteria by the Issuer. Subject to the achievement of the performance criteria, the Reporting Person will be granted RSUs which will vest on February 15 of 2021, subject to continuous service through the vesting date. The Reporting Person may potentially earn RSUs ranging from 50% to 200% of the target award amount.