0000883984-11-000049.txt : 20110615 0000883984-11-000049.hdr.sgml : 20110615 20110615200326 ACCESSION NUMBER: 0000883984-11-000049 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110613 FILED AS OF DATE: 20110615 DATE AS OF CHANGE: 20110615 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOPEZ GEORGE A CENTRAL INDEX KEY: 0001073397 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 11913910 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4/A 1 edgardoc.xml PRIMARY DOCUMENT X0303 4/A 2011-06-13 2011-06-13 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073397 LOPEZ GEORGE A 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 1 1 0 Chairman Non-Qualified Stock Option (right to buy) 14.625 2011-06-13 2011-06-13 4 X 0 8200.0 D 2003-09-09 2011-09-09 Common Stock 8200.0 141800.0 D Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: George A. Lopez, M.D. 2011-06-15