0001698998-20-000003.txt : 20200121
0001698998-20-000003.hdr.sgml : 20200121
20200121144927
ACCESSION NUMBER: 0001698998-20-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170327
FILED AS OF DATE: 20200121
DATE AS OF CHANGE: 20200121
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: 20536134
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
2017-03-27
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
2020-01-17
4
M
0
2181
0.0
A
4478
D
Common Stock
2020-01-21
4
F
0
999
0.0
D
3479
D
Performance Shares
0.0
2017-03-27
4
A
0
727
0.0
A
2019-12-31
Common Stock
727
727
D
Performance Shares
0.0
2020-01-17
4
M
0
727
0.0
D
2019-12-31
Common Stock
2181
0
D
These PRSUs were granted on March 27, 2017. The vesting for this performance-based restricted stock unit ("PRSU") award was dependent upon the achievement of a minimum Cumulative Adjusted EBITDA over the Fiscal Years 2017-2019. The reporting person was able to earn PRSUs ranging from 100% to 300% of the target award amount.
These Securities are Performance-based Restricted Stock Units (PRSU).
There is neither a purchase price nor an exercise price for the PRSUs.
Each PRSU reflects the contingent right to receive a variable number of shares of common stock based on achieving performance goals. At the determination date, based on certification of the achievement of the performance criteria, the reporting person earned 300% of the target award amount.
By: Paula Darbyshire, Attorney-In-Fact For: Daniel Woolson
2020-01-21