0001669639-17-000005.txt : 20170824 0001669639-17-000005.hdr.sgml : 20170824 20170824181809 ACCESSION NUMBER: 0001669639-17-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170824 FILED AS OF DATE: 20170824 DATE AS OF CHANGE: 20170824 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: 171050180 MAIL ADDRESS: STREET 1: 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 2017-08-24 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 2017-08-24 4 M 0 3049 0.0 A 3049 D Common Stock 2017-08-24 4 F 0 1265 167.95 D 1784 D Common Stock 0.0 2017-08-24 4 M 0 3049 0.0 D 2018-08-24 Common Stock 3049 3049 D These securities are Restricted Stock Units. 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, Attorney-in-fact For: Virginia Sanzone 2017-08-24