SEC Form 4 · accession 0001615186-18-000008
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas D McCall
Officer — Vice President and Gen'l Mgr.
Period of report
Aug 23, 2018
Accepted (ET)
Aug 27, 2018 · 3:22 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 23, 2018 | X | 827 | $58.79 | A | 3,018 | D | |
| Common StockF1 | Aug 23, 2018 | S | 1,599 | $300.34 | D | 1,419 | D | |
| Common Stock | Aug 23, 2018 | X | 563 | $61.76 | A | 1,982 | D | |
| Common Stock | Aug 23, 2018 | X | 209 | $60.40 | A | 2,191 | D | |
| Common Stock | Aug 24, 2018 | X | 7,392 | $88.76 | A | 9,583 | D | |
| Common Stock | Aug 24, 2018 | X | 2,142 | $58.79 | A | 11,725 | D | |
| Common StockF2 | Aug 24, 2018 | S | 6,633 | $302.70 | D | 5,092 | D | |
| Common StockF3 | Aug 24, 2018 | S | 2,901 | $303.45 | D | 2,191 | 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 | $58.79 | Aug 23, 2018 | X | 827 | D | — | Feb 24, 2024 | Common Stock | 827 | 2,142 | D |
| Non-Qualified Stock Option (right to buy)F4 | $58.79 | Aug 24, 2018 | X | 2,142 | D | — | Feb 24, 2024 | Common Stock | 2,142 | 0 | D |
| Non-Qualified Stock Option (right to buy)F4 | $60.40 | Aug 23, 2018 | X | 209 | D | — | Oct 11, 2022 | Common Stock | 209 | 0 | D |
| Non-Qualified Stock Option (right to buy)F4 | $61.76 | Aug 23, 2018 | X | 563 | D | — | Feb 6, 2023 | Common Stock | 563 | 0 | D |
| Non-Qualified Stock Option (right to buy)F5 | $88.76 | Aug 24, 2018 | X | 7,392 | D | — | Feb 11, 2025 | Common Stock | 7,392 | 0 | D |
Explanation of responses
- F1The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $300.00 to $301.00, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F2The price reported in Column 4 is an average weighted price. These shares were sold in multiple transactions at prices ranging from $302.35 to $303.30, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F3The price reported in Column 4 is an average weighted price. These shares were sold in multiple transactions at prices ranging from $303.38 to $303.65, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
- F4Options 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.
- F5Options exercisable one-third annually over the first three anniversaries of the grant date.