0001698998-19-000002.txt : 20190222 0001698998-19-000002.hdr.sgml : 20190222 20190222122751 ACCESSION NUMBER: 0001698998-19-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190213 FILED AS OF DATE: 20190222 DATE AS OF CHANGE: 20190222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Woolson Daniel CENTRAL INDEX KEY: 0001698998 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 19624839 MAIL ADDRESS: STREET 1: ICU MEDICAL, INC., 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 2019-02-13 0 0000883984 ICU MEDICAL INC/DE ICUI 0001698998 Woolson Daniel 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 VP, GM-Infusion Capital Common Stock 2019-02-13 4 M 0 2282 0.0 A 2282 D Common Stock 2019-02-13 4 F 0 688 0.0 D 1594 D Common Stock 2019-02-15 4 M 0 805 0.0 A 2399 D Common Stock 2019-02-15 4 F 0 236 0.0 D 2163 D Common Stock 0.0 2019-02-13 4 M 0 2282 0.0 D 2020-02-13 Common Stock 2282 2282 D Performance Shares 0.0 2019-02-15 4 M 0 805 0.0 D 2021-02-15 Common Stock 805 1609 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. These Securities are Performance Stock Units. There is neither a purchase price nor an exercise price for the performance stock units. These performance stock units were granted on March 6, 2018. Vesting of these performance stock units are subject to the satisfaction of both performance-based conditions and time-based criteria. These performance stock units vest on February 15 of the first, second, and third year following the year of grant. By: Alejandro Parras, Attorney-In-Fact For: Daniel Woolson 2019-02-21