-----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, PcgYFNitHhnb+4usGp8WqxS4C+og4bkaJVI4MQwQP/8TtCQjwCfe+hRvrDwul4cu 0iNOLlv4NSNTd+MwIWq/NA== 0000883984-05-000050.txt : 20050901 0000883984-05-000050.hdr.sgml : 20050901 20050901200145 ACCESSION NUMBER: 0000883984-05-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050901 FILED AS OF DATE: 20050901 DATE AS OF CHANGE: 20050901 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: 051065930 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-09-01 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 2005-09-01 4 X 0 4421 7.2917 A 5706 D Common Stock 2005-09-01 4 X 0 99 7.2917 A 5805 D Common Stock 2005-09-01 4 X 0 500 7.2917 A 6305 D Common Stock 2005-09-01 4 X 0 500 7.2917 A 6805 D Common Stock 2005-09-01 4 X 0 199 7.2917 A 7004 D Common Stock 2005-09-01 4 X 0 2400 7.2917 A 9404 D Common Stock 2005-09-01 4 X 0 100 7.2917 A 9504 D Common Stock 2005-09-01 4 X 0 400 7.2917 A 9904 D Common Stock 2005-09-01 4 X 0 505 7.2917 A 10409 D Common Stock 2005-09-01 4 X 0 176 7.2917 A 10585 D Common Stock 2005-09-01 4 X 0 200 7.2917 A 10785 D Common Stock 2005-09-01 4 X 0 300 7.2917 A 11085 D Common Stock 2005-09-01 4 X 0 100 7.2917 A 11185 D Common Stock 2005-09-01 4 X 0 100 7.2917 A 11285 D Common Stock 2005-09-01 4 S 0 4421 30 D 6864 D Common Stock 2005-09-01 4 S 0 99 30.03 D 6765 D Common Stock 2005-09-01 4 S 0 500 30.05 D 6265 D Common Stock 2005-09-01 4 S 0 500 30.06 D 5765 D Common Stock 2005-09-01 4 S 0 199 30.08 D 5566 D Common Stock 2005-09-01 4 S 0 2400 30.12 D 3166 D Common Stock 2005-09-01 4 S 0 100 30.17 D 3066 D Common Stock 2005-09-01 4 S 0 400 30.23 D 2666 D Common Stock 2005-09-01 4 S 0 505 30.25 D 2161 D Common Stock 2005-09-01 4 S 0 176 31 D 1985 D Common Stock 2005-09-01 4 S 0 200 31.01 D 1785 D Common Stock 2005-09-01 4 S 0 300 31.02 D 1485 D Common Stock 2005-09-01 4 S 0 100 31.04 D 1385 D Common Stock 2005-09-01 4 S 0 100 31.05 D 1285 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 4421 D 2003-12-31 2008-11-19 Common Stock 4421 13992 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 99 D 2003-12-31 2008-11-19 Common Stock 99 13893 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 500 D 2003-12-31 2008-11-19 Common Stock 500 13393 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 500 D 2003-12-31 2008-11-19 Common Stock 500 12893 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 199 D 2003-12-31 2008-11-19 Common Stock 199 12694 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 2400 D 2003-12-31 2008-11-19 Common Stock 2400 10294 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 100 D 2003-12-31 2008-11-19 Common Stock 100 10194 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 400 D 2003-12-31 2008-11-19 Common Stock 400 9794 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 505 D 2003-12-31 2008-11-19 Common Stock 505 9289 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 176 D 2003-12-31 2008-11-19 Common Stock 176 9113 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 200 D 2003-12-31 2008-11-19 Common Stock 200 8913 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 300 D 2003-12-31 2008-11-19 Common Stock 300 8613 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 100 D 2003-12-31 2008-11-19 Common Stock 100 8513 D Non-Qualified Stock Option (right to buy) 7.2917 2005-09-01 4 X 0 100 D 2003-12-31 2008-11-19 Common Stock 100 8413 D 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. Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Richard A. Costello 2005-09-01 -----END PRIVACY-ENHANCED MESSAGE-----