-----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, HM8pJ4F5Ny8aVHAZeVg+wF1gdPfFfuZjcIP2/inldH+oCU6ae/YIoIWeoyYcmtpW X2s6CUZvMiNgG1S+4COwhw== 0000883984-04-000024.txt : 20040421 0000883984-04-000024.hdr.sgml : 20040421 20040421172310 ACCESSION NUMBER: 0000883984-04-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040421 FILED AS OF DATE: 20040421 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: KOVALCHIK MICHAEL T CENTRAL INDEX KEY: 0001073390 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 04746199 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 2004-04-21 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073390 KOVALCHIK MICHAEL T C/O ICU MEDICAL INC 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2004-04-21 2004-04-21 4 S 0 200 33.33 D 8862 D Common Stock 2004-04-21 2004-04-21 4 S 0 600 33.29 D 8262 D Common Stock 2004-04-21 2004-04-21 4 S 0 2500 33.28 D 5762 D Common Stock 2004-04-21 2004-04-21 4 S 0 200 33.27 D 5562 D Common Stock 500 I by Son Held by Reporting Person's son as joint tenants with rights of survivorship. By: Lynn DeMartini For: Michael T. Kovalchik, III, M.D. 2004-04-21 -----END PRIVACY-ENHANCED MESSAGE-----