-----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, TYF/mG8fLfws/B3UUphwcjLcat+rfELlJjrDr4QY3LRih+3Y7jzaUJa6Oc4uF6qk fGTj51+UbAE8PPb2jRNirw== 0000883984-09-000076.txt : 20091204 0000883984-09-000076.hdr.sgml : 20091204 20091204175955 ACCESSION NUMBER: 0000883984-09-000076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091204 FILED AS OF DATE: 20091204 DATE AS OF CHANGE: 20091204 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: 92763 BUSINESS PHONE: 949-366-2183 MAIL ADDRESS: STREET 1: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92763 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOPEZ GEORGE A CENTRAL INDEX KEY: 0001073397 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 091224516 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2009-12-04 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073397 LOPEZ GEORGE A 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 1 0 1 Chairman Chairman Common Stock 2009-12-04 2009-12-04 4 S 0 230 35.21 D 616961 D Common Stock 2009-12-04 2009-12-04 4 S 0 300 35.2 D 616661 D Common Stock 2009-12-04 2009-12-04 4 S 0 300 35.19 D 616361 D Common Stock 2009-12-04 2009-12-04 4 S 0 100 35.185 D 616261 D Common Stock 2009-12-04 2009-12-04 4 S 0 170 35.18 D 616091 D Common Stock 2009-12-04 2009-12-04 4 S 0 100 35.17 D 615991 D Common Stock 2009-12-04 2009-12-04 4 S 0 100 35.15 D 615891 D Common Stock 2009-12-04 2009-12-04 4 S 0 800 35.09 D 615091 D Common Stock 2009-12-04 2009-12-04 4 S 0 400 35.08 D 614691 D Common Stock 2009-12-04 2009-12-04 4 S 0 300 35.07 D 614391 D Common Stock 2009-12-04 2009-12-04 4 S 0 400 35.05 D 613991 D Common Stock 2009-12-04 2009-12-04 4 S 0 100 35.03 D 613891 D Common Stock 2009-12-04 2009-12-04 4 S 0 100 35.01 D 613791 D Common Stock 1186843 I by Partnership Common Stock owned by George A. Lopez M.D. Second Family Limited Partnership. Dr. Lopez holds a one-percent general partnership interest in the Partnership. As general partner, he has the power to vote and power to dispose of the 1,186,843 shares owned by the Partnership and may be deemed to be beneficial owner of such shares. The Partnership acquired the shares on 2/24/99 from Trusts for the benefit of the Lopez children, the Christopher George Lopez Children's Trust and the Nicholas George Lopez Children's Trust, which own a 99% limited partnership in the Partnership. Dr. Lopez is not trustee of and has no interest in the children's Trusts. Except to the extent of his undivided one percent general partnership interest in the assets of the Partnership, Dr. Lopez disclaims any beneficial ownership of the shares owned by the Partnership. By: Lynn DeMartini For: George A. Lopez, M.D. 2009-12-04 -----END PRIVACY-ENHANCED MESSAGE-----