0001073393-15-000011.txt : 20151005
0001073393-15-000011.hdr.sgml : 20151005
20151005183522
ACCESSION NUMBER: 0001073393-15-000011
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151005
FILED AS OF DATE: 20151005
DATE AS OF CHANGE: 20151005
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: BROWN JACK
CENTRAL INDEX KEY: 0001073393
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34634
FILM NUMBER: 151144620
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
2015-10-05
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001073393
BROWN JACK
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
1
0
0
0
Common Stock
2015-10-05
4
M
0
1875.0
24.21
A
20875
D
Common Stock
2015-10-05
4
F
0
554.0
107.0888
D
20321
D
Common Stock
2015-10-05
4
F
0
459.0
108.3264
D
19862
D
Non-Qualified Stock Option (right to buy)
24.21
2015-10-05
4
X
0
1875.0
D
2005-05-16
2015-11-16
Common Stock
1875
0
D
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on November 26, 2014.
The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $106.66 to 107.57, 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.
The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $107.79 to 108.71, 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.
Transaction is the exercise of a derivative security; see Column 2.
By: Lauren Tarquin For: Jack Brown
2015-10-05