0001410442-23-000001.txt : 20230308 0001410442-23-000001.hdr.sgml : 20230308 20230308165638 ACCESSION NUMBER: 0001410442-23-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230306 FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 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: 23716810 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 2023-03-06 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 2023-03-06 4 M 0 1773 0.0 A 17242 D Common Stock 2023-03-06 4 F 0 933 161.25 D 16309 D Common Stock 2023-03-06 4 M 0 9994 0.0 A 26303 D Common Stock 2023-03-06 4 F 0 5261 161.25 D 21042 D Common Stock 2023-03-07 4 M 0 3218 0.0 A 24260 D Common Stock 2023-03-07 4 F 0 1694 157.47 D 22566 D Common Stock 2023-03-08 4 M 0 2525 0.0 A 25091 D Common Stock 2023-03-08 4 F 0 1329 156.17 D 23762 D Common Stock 60000 I by Trust Common Stock 0.0 2023-03-06 4 M 0 1773 0.0 D 2022-03-06 2023-03-06 Common Stock 1773 0 D Common Stock 0.0 2023-03-08 4 M 0 2525 0.0 D 2022-03-08 2024-03-08 Common Stock 2525 2525 D Common Stock 0.0 2023-03-07 4 M 0 3218 0.0 D 2023-03-07 2025-03-07 Common Stock 3218 6436 D Performance Shares 2023-03-06 4 M 0 9994 0.0 D 2023-03-06 2023-03-06 Common Stock 9994 0 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. These Securities are Performance-based Restricted Stock Units (PRSU). There is neither a purchase price nor an exercise price for the PRSUs. These PRSUs were granted on March 6, 2020 and were subject to the satisfaction of both performance-based and time-based criteria. These PRSUs had a 3-year performance period and cliff-vested on the third anniversary of the grant date. By: Paula Darbyshire, Attorney-in-fact For: Vivek Jain 2023-03-08