-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, S8Gvmlfvf5Z+aM0fQjdLHD+zMvXUJcNVz6EKe59opwSqpkSvj46/3MVXgCjFrhev fci4A2es+JhVyLWMzT0rcw== 0000883984-03-000028.txt : 20031117 0000883984-03-000028.hdr.sgml : 20031117 20031117201737 ACCESSION NUMBER: 0000883984-03-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031116 FILED AS OF DATE: 20031117 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: 92769 BUSINESS PHONE: 9493662183 MAIL ADDRESS: STREET 1: 951 CALLE AMANELER CITY: SANCLEMENTE STATE: CA ZIP: 92769 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROWN JACK CENTRAL INDEX KEY: 0001073393 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 031009211 BUSINESS ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 949366283 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgardoc.xml PRIMARY DOCUMENT X0201 4 2003-11-16 0 0000883984 ICU MEDICAL INC/DE icui 0001073393 BROWN JACK C/O ICU MEDICAL INC 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Non-Qualified Stock Option (right to buy) 31.945 2003-11-16 2003-11-16 4 A 0 1875 A 2004-05-16 2014-11-16 Common Stock 1875 1875 D Purchase price is zero; no purchase price applies. By: Lynn DeMartini For: Jack W. Brown 2003-11-16 -----END PRIVACY-ENHANCED MESSAGE-----