0001698998-21-000003.txt : 20210309 0001698998-21-000003.hdr.sgml : 20210309 20210309210223 ACCESSION NUMBER: 0001698998-21-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210306 FILED AS OF DATE: 20210309 DATE AS OF CHANGE: 20210309 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: 21727950 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 2021-03-06 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 2021-03-06 4 M 0 1444 0.0 A 8011 D Common Stock 2021-03-06 4 F 0 639 0.0 D 7372 D Common Stock 2021-03-06 4 M 0 1418 0.0 A 8790 D Common Stock 2021-03-06 4 F 0 628 0.0 D 8162 D Common Stock 2021-03-06 4 M 0 1444 0.0 D 2022-03-06 Common Stock 1444 1444 D Performance Shares 2021-03-06 4 M 0 1418 0.0 D 2023-03-06 Common Stock 1418 2835 D These Securities are Performance-based Restricted Stock Units (PRSU). There is neither a purchase price nor an exercise price for the PRSUs. These PRSUs were granted on March 6, 2019. Vesting of these performance stock units are subject to the satisfaction of both performance-based conditions and time-based criteria. These PRSUs vest on March 6 of the first, second, and third year following the year of grant. These PRSUs were granted on March 6, 2020. Vesting of these performance stock units are subject to the satisfaction of both performance-based conditions and time-based criteria. These PRSUs vest on March 6 of the first, second, and third year following the year of grant. By: Paula Darbyshire, Attorney-in-fact For: Daniel Woolson 2021-03-09