0001669639-16-000003.txt : 20160913 0001669639-16-000003.hdr.sgml : 20160913 20160913161836 ACCESSION NUMBER: 0001669639-16-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160824 FILED AS OF DATE: 20160913 DATE AS OF CHANGE: 20160913 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sanzone Virginia Ruth CENTRAL INDEX KEY: 0001669639 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 161883009 MAIL ADDRESS: STREET 1: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2016-08-24 0 0000883984 ICU MEDICAL INC/DE ICUI 0001669639 Sanzone Virginia Ruth 1408 CAUDOR STREET ENCINITAS CA 92024 0 1 0 0 VP, General Counsel Common Stock 2016-08-24 4 M 0 3049.0 0.0 A 3049 D Common Stock 2016-08-24 4 F 0 1146.0 0.0 D 1903 D Common Stock 2016-09-12 4 S 0 1903.0 121.2949 D 0 D Common Stock 0.0 2016-08-24 4 M 0 3049.0 0.0 D 2018-08-24 Common Stock 3049 6098 D These securities are Restricted Stock Units. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on August 11, 2016. The price reported in Column 4 is an average weighted price. These shares were sold in multiple transactions at prices ranging from $121.11 to $121.31, 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. 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. By: Paula Darbyshire For: Virginia Sanzone 2016-09-13