0000883984-12-000008.txt : 20120202
0000883984-12-000008.hdr.sgml : 20120202
20120202132647
ACCESSION NUMBER: 0000883984-12-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120201
FILED AS OF DATE: 20120202
DATE AS OF CHANGE: 20120202
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: 12565303
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
X0304
4
2012-02-01
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001073390
KOVALCHIK MICHAEL T
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
1
0
0
0
Non-Qualified Stock Option (right to buy)
46.53
2012-02-01
2012-02-01
4
A
0
1875.0
46.53
A
2013-02-01
2022-02-01
Common Stock
1875.0
1875.0
D
By: Lynn DeMartini For: Michael T. Kovalchik, III, M.D.
2012-02-02