-----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, G1AOdPWrA6VOOzXQhIMptee3FTsWqsj2M0cuNv2Ee4nU9wFPThd5FaFuMRvnjHH+ Y+tuYK8CVtgegKlTDRMLQg== 0000883984-05-000049.txt : 20050825 0000883984-05-000049.hdr.sgml : 20050825 20050825211525 ACCESSION NUMBER: 0000883984-05-000049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050825 FILED AS OF DATE: 20050825 DATE AS OF CHANGE: 20050825 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: 051050062 BUSINESS ADDRESS: BUSINESS PHONE: 9493662183 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-08-25 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 Common Stock 2005-08-25 4 S 0 662 30.02 D 2623 D Common Stock 2005-08-25 4 S 0 1000 30.03 D 1623 D Common Stock 2005-08-25 4 S 0 338 30.05 D 1285 D Common Stock 2005-08-25 4 X 0 3000 7.2917 A 4285 D Common Stock 2005-08-25 4 X 0 500 7.2917 A 4785 D Common Stock 2005-08-25 4 X 0 300 7.2917 A 5085 D Common Stock 2005-08-25 4 X 0 100 7.2917 A 5185 D Common Stock 2005-08-25 4 X 0 800 7.2917 A 5985 D Common Stock 2005-08-25 4 X 0 300 7.2917 A 6285 D Common Stock 2005-08-25 4 S 0 3000 30.01 D 3285 D Common Stock 2005-08-25 4 S 0 500 30.03 D 2785 D Common Stock 2005-08-25 4 S 0 300 30.05 D 2485 D Common Stock 2005-08-25 4 S 0 100 30.08 D 2385 D Common Stock 2005-08-25 4 S 0 800 30.09 D 1585 D Common Stock 2005-08-25 4 S 0 300 30.1 D 1285 D Non-Qualified Stock Option (right to buy) 7.2917 2005-08-25 4 X 0 3000 D 2003-12-31 2008-11-19 Common Stock 3000 20413 D Non-Qualified Stock Option (right to buy) 7.2917 2005-08-25 4 X 0 500 D 2003-12-31 2008-11-19 Common Stock 500 19913 D Non-Qualified Stock Option (right to buy) 7.2917 2005-08-25 4 X 0 300 D 2003-12-31 2008-11-19 Common Stock 300 19613 D Non-Qualified Stock Option (right to buy) 7.2917 2005-08-25 4 X 0 100 D 2003-12-31 2008-11-19 Common Stock 100 19513 D Non-Qualified Stock Option (right to buy) 7.2917 2005-08-25 4 X 0 800 D 2003-12-31 2008-11-19 Common Stock 800 18713 D Non-Qualified Stock Option (right to buy) 7.2917 2005-08-25 4 X 0 300 D 2003-12-31 2008-11-19 Common Stock 300 18413 D Transaction is the exercise of a derivative security; see Column 2. All options not exercisable at December 1, 2002 became exercisable before December 31, 2003 upon achievement of performance goals as stated in the option agreement. By: Lynn DeMartini For: Richard A. Costello 2005-08-25 -----END PRIVACY-ENHANCED MESSAGE-----