0001410442-21-000006.txt : 20210309
0001410442-21-000006.hdr.sgml : 20210309
20210309211846
ACCESSION NUMBER: 0001410442-21-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210306
FILED AS OF DATE: 20210309
DATE AS OF CHANGE: 20210309
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: 21728013
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
2021-03-06
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
2021-03-06
4
M
0
2681
0.0
A
12731
D
Common Stock
2021-03-06
4
F
0
1411
0.0
D
11320
D
Common Stock
2021-03-06
4
M
0
1444
0.0
A
12764
D
Common Stock
2021-03-06
4
F
0
760
0.0
D
12004
D
Common Stock
2021-03-06
4
M
0
1772
0.0
A
13776
D
Common Stock
2021-03-06
4
F
0
932
0.0
D
12844
D
Common Stock
60000
I
by Trust
Common Stock
0.0
2021-03-06
4
M
0
1772
0.0
D
2023-03-06
Common Stock
1772
3545
D
Common Stock
0.0
2021-03-08
4
A
0
7574
0.0
A
2024-03-08
Common Stock
7574
7574
D
Common Stock
2021-03-06
4
M
0
2681
0.0
D
2021-03-06
Common Stock
2681
0
D
Common Stock
2021-03-06
4
M
0
1444
0.0
D
2022-03-06
Common Stock
1444
1444
D
These securities are Restricted Stock Units.
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.
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 are restricted stock units that fully vest 3 years from the grant date.
By: Paula Darbyshire, Attorney-in-fact For: Vivek Jain
2021-03-09