0001209191-21-032003.txt : 20210512 0001209191-21-032003.hdr.sgml : 20210512 20210512145542 ACCESSION NUMBER: 0001209191-21-032003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210511 FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hoffmeister David F CENTRAL INDEX KEY: 0001305975 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 21914755 MAIL ADDRESS: STREET 1: C/O STEPSTONE GROUP INC. STREET 2: 450 LEXINGTON AVENUE, 31ST FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 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 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-11 0 0000883984 ICU MEDICAL INC/DE ICUI 0001305975 Hoffmeister David F 951 CALLE AMANECER SAN CLEMENTE CA 1 0 0 0 Common Stock 2021-05-11 4 M 0 468 0.00 A 1161 D Common Stock 0.00 2021-05-11 4 M 0 468 0.00 D 2021-05-13 2021-05-13 Common Stock 468 0 D Common Stock 0.00 2021-05-11 4 A 0 433 0.00 A 2022-05-11 2022-05-11 Common Stock 433 433 D Non-Qualified Stock Options (right to buy) 196.57 2021-05-11 4 A 0 1295 0.00 A 2022-05-11 2032-05-11 Common Stock 1295 1295 D These securities are Restricted Stock Units. There is neither a purchase price nor an exercise price for the Restricted Stock Units. These Restricted Stock Units vest on the anniversary of the date of the award or the following annual stockholder meeting, whichever occurs first. These options vest on the anniversary of the date of the award or the following annual stockholder meeting, whichever occurs first. Paula Darbyshire Attorney-in-fact For David F. Hoffmeister 2021-05-12