0001410442-21-000004.txt : 20210203
0001410442-21-000004.hdr.sgml : 20210203
20210203181721
ACCESSION NUMBER: 0001410442-21-000004
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210203
FILED AS OF DATE: 20210203
DATE AS OF CHANGE: 20210203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jain Vivek
CENTRAL INDEX KEY: 0001410442
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34634
FILM NUMBER: 21587768
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
5
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
5
2021-02-03
0
0
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
2020-09-15
5
G
0
60000
0.0
D
6241
D
Common Stock
2020-09-15
5
G
0
60000
0.0
A
60000
I
by Trust
Non-Qualified Stock Option (right to buy)
58.79
2020-10-30
5
G
0
66000
0.0
D
2018-02-13
2024-02-24
Common Stock
66000
381866
D
Non-Qualified Stock Option (right to buy)
58.79
2020-10-30
5
G
0
66000
0.0
A
2018-02-13
2024-02-24
Common Stock
66000
66000
I
by Trust
This transaction represented a gift of securities from the reporting person to two trusts for the benefit of family members, who share the same household. The reporting person disclaims beneficial ownership of the shares held by the trusts, and this report shall not be deemed as an admission that the reporting person is the beneficial owner of the trust's shares for purposes of Section 16 or for any other purpose.
By: Paula Darbyshire, Attorney-in-fact For: Vivek Jain
2021-02-03