0001189724-16-000011.txt : 20160208
0001189724-16-000011.hdr.sgml : 20160208
20160208172856
ACCESSION NUMBER: 0001189724-16-000011
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160205
FILED AS OF DATE: 20160208
DATE AS OF CHANGE: 20160208
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: 161396529
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
2016-02-05
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001189724
RIGGS STEVEN
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
0
1
0
0
VP Operations
Common Stock
0.0
2016-02-05
4
A
0
2503.0
0.0
A
2018-12-31
Common Stock
2503
2503
D
Common Stock
0.0
2016-02-05
4
A
0
2503.0
0.0
A
2019-02-05
Common Stock
2503
2503
D
These securities are Restricted Stock Units.
There is neither a purchase price nor an exercise price for the Restricted Stock Units.
The vesting for this performance-based restricted stock unit ("PRSU") award is dependent upon the reporting person's earning PRSUs based on the achievement of performance criteria related to the Company's fiscal year 2018 Adjusted EBITDA per share CAGR in comparison to the fiscal year 2015 Adjusted EBITDA per weighted average basic share. The number of shares reported is the target award amount.The reporting person may potentially earn PRSUs ranging from 100% to 300% of the target award amount. The shares subject to the actual earned PRSU award will vest prior to March 15, 2019, the determination date, based on certification of the achievement of the performance criteria.
One third of the Units subject to the award shall vest on each of the first, second, and third anniversaries of the grant date.
By: Paula Darbyshire For: Steven C. Riggs
2016-02-08