0000883984-12-000072.txt : 20120523
0000883984-12-000072.hdr.sgml : 20120523
20120523114844
ACCESSION NUMBER: 0000883984-12-000072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120521
FILED AS OF DATE: 20120523
DATE AS OF CHANGE: 20120523
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: 12863516
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
X0305
4
2012-05-21
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001073390
KOVALCHIK MICHAEL T
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
1
0
0
0
Common Stock
2012-05-21
4
X
0
1875.0
28.635
A
4637.0
D
Common Stock
2012-05-21
4
S
0
1875.0
52.2993
D
2762.0
D
Common Stock
2012-05-21
4
X
0
1875.0
30.625
A
4637.0
D
Common Stock
2012-05-21
4
S
0
1875.0
52.2993
D
2762.0
D
Common Stock
2012-05-21
4
X
0
1875.0
28.8133
A
4637.0
D
Common Stock
2012-05-21
4
S
0
1875.0
52.68
D
2762.0
D
Common Stock
2012-05-21
4
X
0
1875.0
30.295
A
4637.0
D
Common Stock
2012-05-21
4
S
0
1875.0
52.2993
D
2762.0
D
Non-Qualified Stock Option (right to buy)
28.635
2012-05-21
4
X
0
1875.0
D
2004-02-16
2014-08-16
Common Stock
1875.0
0.0
D
Non-Qualified Stock Option (right to buy)
28.8133
2012-05-21
4
X
0
1875.0
D
2002-05-02
2012-11-02
Common Stock
1875.0
0.0
D
Non-Qualified Stock Option (right to buy)
30.295
2012-05-21
4
X
0
1875.0
D
2003-08-16
2014-02-06
Common Stock
1875.0
0.0
D
Non-Qualified Stock Option (right to buy)
30.625
2012-05-21
4
X
0
1875.0
D
2003-11-16
2014-05-16
Common Stock
1875.0
0.0
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.00 to $52.5601, 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.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.60 to $52.75, 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: Michael T. Kovalchik, III, M.D.
2012-05-23