SEC Form 5 · accession 0001615192-18-000001
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kevin J McGrody
Officer — Controller
Period of report
Dec 31, 2017
Accepted (ET)
Jan 2, 2018 · 11:43 am 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 | Sep 1, 2017 | A | 1,714 | A | — | Sep 1, 2020 | Common Stock | 1,714 | 1,714 | 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
This form 5 is to report transactions during the year which were inadvertently not previously reported via a Form 4 submission.