-----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, RNreqvypLpIuG8NdUYF8SdzjpQzNytWUJkB4nd8MV5jTwPC8OmKIKBC8oi2NCftP 1exgzk2oWU9fw9vJ0bcEUQ== 0000883984-10-000081.txt : 20101028 0000883984-10-000081.hdr.sgml : 20101028 20101028173444 ACCESSION NUMBER: 0000883984-10-000081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101027 FILED AS OF DATE: 20101028 DATE AS OF CHANGE: 20101028 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUMMETT BURCAR ALISON CENTRAL INDEX KEY: 0001189727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 101149176 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: 92763-6212 BUSINESS PHONE: 949-366-2183 MAIL ADDRESS: STREET 1: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92763-6212 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2010-10-27 0 0000883984 ICU MEDICAL INC/DE ICUI 0001189727 BRUMMETT BURCAR ALISON 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Product Develop Common Stock 2010-10-27 2010-10-27 4 X 0 2500 31.195 A 2500 D Common Stock 2010-10-27 2010-10-27 4 S 0 2500 37.0505 D 0 D Common Stock 2010-10-27 2010-10-27 4 X 0 1000 30.02 A 1000 D Common Stock 2010-10-27 2010-10-27 4 S 0 1000 37.0505 D 0 D Common Stock 2010-10-27 2010-10-27 4 X 0 2500 29.565 A 2500 D Common Stock 2010-10-27 2010-10-27 4 S 0 2500 37.0505 D 0 D Common Stock 2010-10-27 2010-10-27 4 X 0 2500 33.77 A 2500 D Common Stock 2010-10-27 2010-10-27 4 S 0 2500 37.0505 D 0 D Common Stock 2010-10-27 2010-10-27 4 X 0 3000 30.35 A 3000 D Common Stock 2010-10-27 2010-10-27 4 S 0 3000 37.0505 D 0 D Common Stock 2010-10-27 2010-10-27 4 X 0 5000 32.92 A 5000 D Common Stock 2010-10-27 2010-10-27 4 S 0 5000 37.0505 D 0 D Non-Qualified Stock Option (right to buy) 29.565 2010-10-27 2010-10-27 4 X 0 2500 D 2014-09-02 Common Stock 2500 0 D Non-Qualified Stock Option (right to buy) 30.02 2010-10-27 2010-10-27 4 X 0 1000 D 2013-06-10 Common Stock 1000 0 D Non-Qualified Stock Option (right to buy) 30.35 2010-10-27 2010-10-27 4 X 0 3000 D 2014-02-05 Common Stock 3000 0 D Non-Qualified Stock Option (right to buy) 31.195 2010-10-27 2010-10-27 4 X 0 2500 D 2004-10-16 2015-04-16 Common Stock 2500 0 D Non-Qualified Stock Option (right to buy) 32.92 2010-10-27 2010-10-27 4 X 0 5000 D 2005-10-16 2015-04-16 Common Stock 5000 0 D Non-Qualified Stock Option (right to buy) 33.77 2010-10-27 2010-10-27 4 X 0 2500 D 2004-12-31 2015-02-13 Common Stock 2500 0 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $37.00 to $37.35, inclusive. The reporting person undertakes to provide ICU Medical, Inc., any security holder of ICU Medical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this Form 4. Options were scheduled to vest one-third annually. Vesting of unvested shares was accelerated on December 31, 2004. Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Alison D. Burcar 2010-10-28 -----END PRIVACY-ENHANCED MESSAGE-----