SEC Form 4 · accession 0001669639-17-000005
ICU MEDICAL INC/DE · ICUI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Virginia Ruth Sanzone
Officer — VP, General Counsel
Period of report
Aug 24, 2017
Accepted (ET)
Aug 24, 2017 · 6:18 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 24, 2017 | M | 3,049 | $0.00 | A | 3,049 | D | |
| Common Stock | Aug 24, 2017 | F | 1,265 | $167.95 | D | 1,784 | D |
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 | Aug 24, 2017 | M | 3,049 | D | — | Aug 24, 2018 | Common Stock | 3,049 | 3,049 | 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.