Form 4 for ICU SeaStar Medical Holding Corp

Accepted 2022-11-01 00:00:00 ET · period of report 2022-10-28 · accession 0000899243-22-034688 · 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	Baron Caryl	Interim CFO	A - Grant	$0.00	+42.1K	42.1K	New	$0
DM	2022-11-01	2022-10-28	ICU	Baron Caryl	Interim CFO	A - Grant	$0.00	+24.5K	19.7K	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	42,112	$0.00	42,112	D	—	—
2	Derivative	Stock Option (Right to Buy)	2022-10-28	A	A	4,796	$0.00	4,796	D	$10.00 · — to 2030-03-20	4,796 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 30, 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 March 30, 2021.
3	Derivative	Stock Option (Right to Buy)	2022-10-28	A	A	19,685	$0.00	19,685	D	$0.55 · — to 2031-01-01	19,685 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 January 1, 2021 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 January 1, 2022.