0001669639-17-000004.txt : 20170403
0001669639-17-000004.hdr.sgml : 20170403
20170403213701
ACCESSION NUMBER: 0001669639-17-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170327
FILED AS OF DATE: 20170403
DATE AS OF CHANGE: 20170403
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: 17736073
MAIL ADDRESS:
STREET 1: 951 CALLE AMANECER
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92673
4
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
4
2017-03-27
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
0.0
2017-03-27
4
A
0
1778
0.0
A
2019-12-31
Common Stock
1778
1778
D
Common Stock
0.0
2017-03-27
4
A
0
1778
0.0
A
2020-03-27
Common Stock
1778
1778
D
These securities are Restricted Stock Units.
There is neither a purchase price nor an exercise price for the Restricted Stock Units.
The executive officers were notified of their awards by the Registrant on March 30, 2017.
The vesting for this performance-based restricted stock unit ("PRSU") award is dependent upon the reporting person's earning PRSUs based on the achievement of performance criteria related to the Company's fiscal year 2019 Cumulative Adjusted EBITDA in comparison to the fiscal year 2016 Adjusted EBITDA. The number of shares reported is the target award amount. The reporting person may potentially earn PRSUs ranging from 100% to 300% of the target award amount.
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, Attorney-in-fact For: Virginia Sanzone
2017-04-03