Form 4 for ICU SeaStar Medical Holding Corp

Accepted 2022-11-01 00:00:00 ET · period of report 2022-10-28 · accession 0000899243-22-034685 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
D	2022-11-01	2022-10-28	ICU	Schlorff Eric	CEO, Dir	A - Grant	$0.00	+198.5K	198.5K	New	$0
DM	2022-11-01	2022-10-28	ICU	Schlorff Eric	CEO, Dir	A - Grant	$0.00	+102.0K	18.0K	New	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock, par value $0.0001 per share	2022-10-28	A	A	198,530	$0.00	198,530	D	—	—
2	Derivative	Stock Option (Right to Buy)	2022-10-28	A	A	83,985	$0.00	83,985	D	$0.53 · — to 2030-02-20	83,985 Common Stock	(F4) The option vests with respect to (i) twenty-five percent (25%) of the shares upon completion of one (1) year of service measured from February 20, 2020 and (ii) the balance of the shares subject to the option in a series of thirty-six (36) successive equal monthly installments upon completion of each additional month of service over the thirty-six (36)-month period measured from February 20, 2021.
3	Derivative	Stock Option (Right to Buy)	2022-10-28	A	A	17,986	$0.00	17,986	D	$10.00 · — to 2029-03-01	17,986 Common Stock	(F3) The option vests with respect to (i) twenty-five percent (25%) of the shares upon completion of one (1) year of service measured from March 1, 2019 and (ii) the balance of the shares subject to the option in a series of thirty-six (36) successive equal monthly installments upon completion of each additional month of service over the thirty-six (36)-month period measured from March 1, 2020.