0001410442-20-000003.txt : 20200310 0001410442-20-000003.hdr.sgml : 20200310 20200310152629 ACCESSION NUMBER: 0001410442-20-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200306 FILED AS OF DATE: 20200310 DATE AS OF CHANGE: 20200310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jain Vivek CENTRAL INDEX KEY: 0001410442 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 20701317 MAIL ADDRESS: STREET 1: ICU MEDICAL, INC. 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 2020-03-06 0 0000883984 ICU MEDICAL INC/DE ICUI 0001410442 Jain Vivek 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 1 0 0 Chairman and CEO Common Stock 2020-03-06 4 M 0 2681 0.0 A 81084 D Common Stock 2020-03-06 4 F 0 1411 0.0 D 79673 D Common Stock 2020-03-06 4 M 0 1443 0.0 A 81116 D Common Stock 2020-03-06 4 F 0 759 0.0 D 80357 D Common Stock 0.0 2020-03-06 4 M 0 5317 0.0 A 2023-03-06 Common Stock 5317 5317 D Common Stock 2020-03-06 4 M 0 2681 0.0 D 2021-03-06 Common Stock 2681 2681 D Common Stock 2020-03-06 4 M 0 1443 0.0 D 2022-03-06 Common Stock 1443 2888 D There is neither a purchase price nor an exercise price for the Restricted Stock Units. One third of the units subject to the award shall vest on each of the first, second, and third anniversaries of the grant date. These securities are Restricted Stock Units. These are restricted stock units that fully vest 3 years from the grant date. By: Paula Darbyshire, Attorney-in-fact For: Vivek Jain 2020-03-10