0000883984-14-000006.txt : 20140203 0000883984-14-000006.hdr.sgml : 20140203 20140203204547 ACCESSION NUMBER: 0000883984-14-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140201 FILED AS OF DATE: 20140203 DATE AS OF CHANGE: 20140203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ICU MEDICAL INC/DE CENTRAL INDEX KEY: 0000883984 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 330022692 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92763-6212 BUSINESS PHONE: 949-366-2183 MAIL ADDRESS: STREET 1: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92763-6212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RIGGS STEVEN CENTRAL INDEX KEY: 0001189724 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 14569854 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2014-02-01 0 0000883984 ICU MEDICAL INC/DE ICUI 0001189724 RIGGS STEVEN 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Acting CEO Common Stock 2014-02-01 4 M 0 1462.0 0.0 A 8604 D Common Stock 2014-02-01 4 F 0 610.0 63.45 D 7994 D Non-Qualified Stock Option (right to buy) 2014-02-01 4 M 0 731.0 0.0 D 2013-02-01 2013-02-01 Common Stock 731 731 D These securities are Restricted Stock Units. There is neither a purchase price nor an exercise price for the Restricted Stock Units. As disclosed in the Reporting Person's Form 4 for the original grant of the RSUs, the award agreement for the RSU provided that the shares covered by the RSU were subject to increase in the event that the Company's adjusted TSR for 2012 equaled or exceeded certain thresholds. On January 31 2013, the Company's Compensation Committee determined that the Company's adjusted TSR for 2012 equaled or exceed the 75th percentile of the Company's peer companies. As a result, the shares covered by the Reporting Person's RSU increased by 200%. The share amounts reported in Table II for the RSU reflect the unadjusted share amounts, and the share amount reported in Table I reflects the number of shares covered by the RSU that have vested, as adjusted for the increase. Vesting of any amount earned would be one-third on the anniversary date of the award; one-third of the award two years after grant, and the remaining one-third a year later, with the employee having to be employed by the Company at the time of any vesting. By: Lynn DeMartini For: Steven C. Riggs 2014-02-03