0000883984-12-000026.txt : 20120312 0000883984-12-000026.hdr.sgml : 20120310 20120312183144 ACCESSION NUMBER: 0000883984-12-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120312 FILED AS OF DATE: 20120312 DATE AS OF CHANGE: 20120312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAUCEDO JOSEPH R CENTRAL INDEX KEY: 0001190251 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 12685361 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 2012-03-12 0 0000883984 ICU MEDICAL INC/DE ICUI 0001190251 SAUCEDO JOSEPH R 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2012-03-12 4 X 0 9000.0 39.25 A 9000.0 D Common Stock 2012-03-12 4 S 0 9000.0 46.329 D 0.0 D Non-Qualified Stock Option (right to buy) 39.25 2012-03-12 4 X 0 9000.0 D 2002-11-16 2013-05-16 Common Stock 9000.0 3000.0 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on May 28, 2011. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $46.21 to $46.75, 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 price within the range set forth in this Form 4. Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Joseph R. Saucedo 2012-03-12