-----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, JwJuRBBEgLzUKmnZfGBID59EEejOL1m98alMJ7oDNhwUAgnaM6wmg6X1zZ+QDIvk U7u1V7n3pf8vqNurEfrFhw== 0000883984-10-000056.txt : 20100727 0000883984-10-000056.hdr.sgml : 20100727 20100727194139 ACCESSION NUMBER: 0000883984-10-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100727 FILED AS OF DATE: 20100727 DATE AS OF CHANGE: 20100727 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: 001-34634 FILM NUMBER: 10972674 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: 92763 BUSINESS PHONE: 949-366-2183 MAIL ADDRESS: STREET 1: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92763 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2010-07-27 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073390 KOVALCHIK MICHAEL T 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2010-07-27 2010-07-27 4 X 0 1875 22.685 A 4637 D Common Stock 2010-07-27 2010-07-27 4 X 0 1875 24.21 A 6512 D Common Stock 2010-07-27 2010-07-27 4 X 0 375 24.17 A 6887 D Common Stock 2010-07-27 2010-07-27 4 X 0 375 27.45 A 7262 D Common Stock 2010-07-27 2010-07-27 4 S 0 4500 39 D 2762 D Non-Qualified Stock Option (right to buy) 22.685 2010-07-27 2010-07-27 4 X 0 1875 D 2005-04-19 2014-10-19 Common Stock 1875 0 D Non-Qualified Stock Option (right to buy) 24.17 2010-07-27 2010-07-27 4 X 0 375 D 2018-04-21 Common Stock 375 1125 D Non-Qualified Stock Option (right to buy) 24.21 2010-07-27 2010-07-27 4 X 0 1875 D 2005-05-16 2015-11-16 Common Stock 1875 0 D Non-Qualified Stock Option (right to buy) 27.45 2010-07-27 2010-07-27 4 X 0 375 D 2018-07-21 Common Stock 375 1125 D Transaction is the exercise of a derivative security; see Column 2. Options exercisable in four equal annual cumulative installments commencing one year after the grant date. By: Lynn DeMartini For: Michael T. Kovalchik, III, M.D. 2010-07-27 -----END PRIVACY-ENHANCED MESSAGE-----