0000883984-12-000084.txt : 20120807
0000883984-12-000084.hdr.sgml : 20120807
20120807173051
ACCESSION NUMBER: 0000883984-12-000084
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120807
FILED AS OF DATE: 20120807
DATE AS OF CHANGE: 20120807
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: CONNORS JOHN J
CENTRAL INDEX KEY: 0001073396
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34634
FILM NUMBER: 121014461
MAIL ADDRESS:
STREET 1: C/O ICU MEDICAL
STREET 2: 951 CALLE AMANECER
CITY: SAN CLEMENTE
STATE: CA
ZIP: 92673
4
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
4
2012-08-07
0
0000883984
ICU MEDICAL INC/DE
ICUI
0001073396
CONNORS JOHN J
951 CALLE AMANECER
SAN CLEMENTE
CA
92673
1
0
0
0
Common Stock
2012-08-07
4
X
0
10338.0
39.25
A
10338.0
I
by Trust
Common Stock
2012-08-07
4
S
0
10338.0
54.0
D
0.0
I
by Trust
Common Stock
300.0
D
Incentive Stock Option (right to buy)
39.25
2012-08-07
4
X
0
10338.0
D
2002-11-16
2013-05-16
Common Stock
10338.0
0.0
I
by Trust
Option to purchase shares of ICU Medical, Inc. Common Stock assigned to the trustees of The John J. Connors Family Irrevocable Trust. Mr. Connors retains no pecuniary or other beneficial interest in the shares assigned to the Family Trust.
Transaction is the exercise of a derivative security; see Column 2.
By: Lynn DeMartini For: John J. Connors
2012-08-07