0001410442-21-000010.txt : 20211230
0001410442-21-000010.hdr.sgml : 20211230
20211230165906
ACCESSION NUMBER: 0001410442-21-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211228
FILED AS OF DATE: 20211230
DATE AS OF CHANGE: 20211230
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: 211533475
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
2021-12-28
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
2021-12-28
4
M
0
164
58.79
A
12943
D
Common Stock
2021-12-28
4
S
0
164
240.0
D
12779
D
Common Stock
2021-12-29
4
M
0
10677
58.79
A
23456
D
Common Stock
2021-12-29
4
S
0
10677
240.0012
D
12779
D
Common Stock
2021-12-30
4
M
0
1159
58.79
A
13938
D
Common Stock
2021-12-30
4
S
0
1159
240.0
D
12779
D
Common Stock
60000
I
by Trust
Non-Qualified Stock Option (right to buy)
58.79
2021-12-28
4
M
0
164
0.0
D
2018-02-13
2024-02-24
Common Stock
164
254202
D
Non-Qualified Stock Option (right to buy)
58.79
2021-12-29
4
M
0
10677
0.0
D
2018-02-13
2024-02-24
Common Stock
10677
243525
D
Non-Qualified Stock Option (right to buy)
58.79
2021-12-30
4
M
0
1159
0.0
D
2018-02-13
2024-02-24
Common Stock
1159
242366
D
The option exercises and sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 15, 2021.
All shares sold were sold at the exact price disclosed.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $240.00 to $240.07, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
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
2021-12-30