0001073398-21-000004.txt : 20210512 0001073398-21-000004.hdr.sgml : 20210512 20210512134526 ACCESSION NUMBER: 0001073398-21-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210511 FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SWINNEY ROBERT S CENTRAL INDEX KEY: 0001073398 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 21914594 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2021-05-11 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073398 SWINNEY ROBERT S 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2021-05-11 4 M 0 468 0.0 A 24473 D Common Stock 1125 I by Spouse Common Stock 0.0 2021-05-11 4 M 0 468 0.0 D 2021-05-13 2021-05-13 Common Stock 468 0 D Common Stock 0.0 2021-05-11 4 A 0 433 0.0 A 2022-05-11 2022-05-11 Common Stock 433 433 D Non-Qualified Stock Option (right to buy) 196.57 2021-05-11 4 A 0 1295 0.0 A 2022-05-11 2031-05-11 Common Stock 1295 1295 D These securities are Restricted Stock Units. There is neither a purchase price nor an exercise price for the Restricted Stock Units. These awards vest on the anniversary of the date of the grant or the following annual stockholder meeting, whichever occurs first. These stock options vest on the anniversary of the date of the grant or the following annual stockholder meeting, whichever occurs first. By: Paula Darbyshire, Attorney-in-fact For: Robert S. Swinney, M.D. 2021-05-12