Statement of Changes in Beneficial Ownership (4)
March 10 2020 - 3:21PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
Sanzone Virginia Ruth |
2. Issuer Name and Ticker or Trading Symbol
ICU MEDICAL INC/DE
[
ICUI
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
VP, General Counsel |
|
(Last)
(First)
(Middle)
951 CALLE AMANECER |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/6/2020 |
|
(Street)
SAN CLEMENTE, CA 92673
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
| Common Stock | 3/6/2020 | | M | | 1443 | A | $0.0 | 1975 | D | |
| Common Stock | 3/6/2020 | | F | | 759 | D | $0.0 | 1216 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code
(Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) | 8. Price of Derivative Security
(Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Performance Shares (1) | (2) | 3/6/2020 | | M | | | 1443 (3) | (4) | 3/6/2022 | Common Stock | 1443 | $0.0 | 2888 | D | |
| Explanation of Responses: |
| (1) | These Securities are Performance-based Restricted Stock Units (PRSU). |
| (2) | There is neither a purchase price nor an exercise price for the PRSUs. |
| (3) | 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 100% of the target award amount. |
| (4) | 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. |
Reporting Owners
|
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Sanzone Virginia Ruth
951 CALLE AMANECER
SAN CLEMENTE, CA 92673 |
|
| VP, General Counsel |
|
Signatures
|
| By: Paula Darbyshire, Attorney-in-fact For: Virginia Sanzone | | 3/10/2020 |
| **Signature of Reporting Person | Date |
ICU Medical (NASDAQ:ICUI)
Historical Stock Chart
From Jun 2024 to Jul 2024
ICU Medical (NASDAQ:ICUI)
Historical Stock Chart
From Jul 2023 to Jul 2024
