0001190251-17-000003.txt : 20170516 0001190251-17-000003.hdr.sgml : 20170516 20170516191548 ACCESSION NUMBER: 0001190251-17-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170516 FILED AS OF DATE: 20170516 DATE AS OF CHANGE: 20170516 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: SAUCEDO JOSEPH R CENTRAL INDEX KEY: 0001190251 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 17849984 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL, INC. STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2017-05-16 0 0000883984 ICU MEDICAL INC/DE ICUI 0001190251 SAUCEDO JOSEPH R 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2017-05-16 4 M 0 743 0.0 A 3091 D Common Stock 2017-05-16 4 X 0 1500 34.48 A 4591 D Common Stock 2017-05-16 4 X 0 1500 37.36 A 6091 D Common Stock 2017-05-16 4 X 0 1500 38.85 A 7591 D Common Stock 2017-05-16 4 S 0 4500 162.505 D 3091 D Common Stock 2017-05-16 4 M 0 743 0.0 D 2017-05-16 2017-05-16 Common Stock 743 0 D Non-Qualified Stock Option (right to buy) 34.48 2017-05-16 4 X 0 1500 34.48 D 2019-04-20 Common Stock 1500 0 D Non-Qualified Stock Option (right to buy) 37.36 2017-05-16 4 X 0 1500 37.36 D 2010-10-21 2019-10-21 Common Stock 1500 0 D Non-Qualified Stock Option (right to buy) 38.85 2017-05-16 4 X 0 1500 38.85 D 2010-07-22 2019-07-22 Common Stock 1500 0 D These securities are Restricted Stock Units. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $162.405 to $162.60, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. There is neither a purchase price nor an exercise price for the Restricted Stock Units. Options exercisable in four equal annual cumulative installments commencing one year after the grant date. Transaction is the exercise of a derivative security; see Column 2. By: Paula Darbyshire Attorney-in-fact For: Joseph R. Saucedo 2017-05-16