-----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, QpQ1C4bDpUYQQ09y393SMCgLqKZ0vdTuMCkyQbt0KHsSBv3LatNdGtk6/C/9lCyq yyMKhCW29C7cQ9/jIfE2Xw== 0000883984-04-000010.txt : 20040408 0000883984-04-000010.hdr.sgml : 20040408 20040408203750 ACCESSION NUMBER: 0000883984-04-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040408 FILED AS OF DATE: 20040408 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: COSTELLO RICHARD A CENTRAL INDEX KEY: 0001073401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 04726007 BUSINESS ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 9493662183 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 2004-04-08 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073401 COSTELLO RICHARD A C/O ICU MEDICAL INC 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Sales Non-Qualified Stock Option (right to buy) 32.61 2004-04-08 2004-04-08 4 A 0 10000 32.61 A 2014-04-08 2015-04-08 Common Stock 10000 10000 D Options not exercisable at December 31, 2004 may become exercisable before date indicated, upon achievement of certain performance gols as specified in the option agreement. By: Lynn DeMartini For: Richard A. Costello 2004-04-08 -----END PRIVACY-ENHANCED MESSAGE-----