0002013412-24-000002.txt : 20240226
0002013412-24-000002.hdr.sgml : 20240226
20240226185139
ACCESSION NUMBER: 0002013412-24-000002
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20240215
FILED AS OF DATE: 20240226
DATE AS OF CHANGE: 20240226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sousa Ben
CENTRAL INDEX KEY: 0002013412
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34634
FILM NUMBER: 24681140
MAIL ADDRESS:
STREET 1: ICU MEDICAL, INC.
STREET 2: 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]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
3
1
edgardoc.xml
PRIMARY DOCUMENT
X0206
3
2024-02-15
0
0000883984
ICU MEDICAL INC/DE
ICUI
0002013412
Sousa Ben
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
0
1
0
0
Chief Information Officer
Common Stock
123
D
Common Stock
0.0
2024-03-08
Common Stock
674
D
Common Stock
0.0
2025-03-07
Common Stock
859
D
Common Stock
0.0
2026-03-15
Common Stock
3898
D
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 are restricted stock units that fully vest 3 years from the grant date.
There is neither a purchase price nor an exercise price for the Restricted Stock Units.
By: Paula Darbyshire, Attorney-in-fact For: Benjamin Sousa
2024-02-26
EX-24
2
poasousapdjh.txt
EDGAR SUPPORTING DOCUMENT
POWER OF ATTORNEY
Know all by these presents that the undersigned hereby constitutes and appoints
each of Paula Darbyshire and Jennifer Han, from ICU Medical, Inc. a Delaware
corporation (the "Company"), signing individually, and with full power of
substitution, as the undersigned's true and lawful attorneys-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director of the Company, Forms 3, 4, and 5
(including any amendments thereto) in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act") and the
rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Form
3, 4, or 5 (including any amendments thereto), and timely file such form
with the U.S. Securities and Exchange Commission (the "SEC") and any stock
exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of any such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by any such attorney-in-fact on behalf
of the undersigned pursuant to this Power of Attorney shall be in such form
and shall contain such terms and conditions as such attorney-in-fact may
approve in any such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might
or could do if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that each such
attorney-in-fact, or each such attorney-in-fact's substitute or substitutes,
shall lawfully do or cause to be done by virtue of this power of attorney and
the rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of
the undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the
earliest to occur of (a) the undersigned is no longer required to file
Forms 3, 4, and 5 with respect to the undersigned's holdings of and
transactions in securities issued by the Company, (b) revocation by the
undersigned in a signed writing delivered to each of the foregoing attorneys-
in-fact or (c) as to any attorney-in-fact individually, until such attorney-
in-fact is no longer employed by the Company.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 12th day of February, 2024.
/s/ Benjamin Sousa