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