-----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, DpDV98arD/jK99ljSBpQhu3oRTvFpmAoLVG/uNu5IUQSx8caSND5rGgKQ/5l4CSQ 2+F7CVApS9mmVIDI7e6IHA== 0000883984-04-000002.txt : 20040213 0000883984-04-000002.hdr.sgml : 20040213 20040213185739 ACCESSION NUMBER: 0000883984-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20400213 FILED AS OF DATE: 20040213 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: BRUMMETT BURCAR ALISON CENTRAL INDEX KEY: 0001189727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 04601538 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 2040-02-13 0 0000883984 ICU MEDICAL INC/DE ICUI 0001189727 BRUMMETT BURCAR ALISON C/O ICU MEDICAL INC 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Marketing Non-Qualified Stock Option (right to buy) 33.77 2004-02-13 2004-02-13 4 A 0 2500 33.77 A 2015-02-13 Common Stock 2500 2500 D Options exercisable one-third annually over the first three anniversaries of the grant date. By: Lynn DeMartini For: Alison D. Burcar 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----