0000883984-12-000081.txt : 20120801
0000883984-12-000081.hdr.sgml : 20120801
20120801183205
ACCESSION NUMBER: 0000883984-12-000081
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120801
FILED AS OF DATE: 20120801
DATE AS OF CHANGE: 20120801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COSTELLO RICHARD A
CENTRAL INDEX KEY: 0001073401
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34634
FILM NUMBER: 121001306
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
X0306
4
2012-08-01
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001073401
COSTELLO RICHARD A
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
0
1
0
0
Vice President Sales
Common Stock
2012-08-01
4
X
0
10000.0
32.92
A
10000.0
D
Common Stock
2012-08-01
4
X
0
10000.0
53.2025
D
0.0
D
Incentive Stock Option (right to buy)
32.92
2012-08-01
4
X
0
10000.0
53.2025
D
2005-10-16
2016-04-16
Common Stock
10000.0
0.0
D
The price recorded in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $53.00 to $53.57, 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 exercisable one-third annually over the first three anniversaries of the grant date.
Transaction is the exercise of a derivative security; see Column 2.
By: Lynn DeMartini For: Richard A. Costello
2012-08-01