-----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, CutBwajoWEtQYczHiWBTOPaBfuSn5HrIzWVbTrcVAA+btSR0K1Q4hcGb+johNXEV rRMGaXW7FYEAMptd5aaEAA== 0000883984-04-000038.txt : 20040527 0000883984-04-000038.hdr.sgml : 20040527 20040527185524 ACCESSION NUMBER: 0000883984-04-000038 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040421 FILED AS OF DATE: 20040527 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 04836283 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/A 1 edgardoc.xml PRIMARY DOCUMENT X0202 4/A 2004-04-21 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 2000 33.28 D 5262 D Common Stock 2004-04-21 2004-04-21 4 S 0 500 33.28 D 1000 I by Son Common Stock 2004-04-21 2004-04-21 4 S 0 200 33.27 D 800 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. 2004-05-27 -----END PRIVACY-ENHANCED MESSAGE-----