0000883984-12-000088.txt : 20120911 0000883984-12-000088.hdr.sgml : 20120911 20120911185451 ACCESSION NUMBER: 0000883984-12-000088 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120910 FILED AS OF DATE: 20120911 DATE AS OF CHANGE: 20120911 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: LOPEZ GEORGE A CENTRAL INDEX KEY: 0001073397 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 121086495 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4/A 1 edgardoc.xml PRIMARY DOCUMENT X0306 4/A 2012-09-10 2012-09-10 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073397 LOPEZ GEORGE A 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 1 1 0 Chairman Common Stock 2012-09-10 4 J 0 21300.0 28.6233 A 355219.0 D Common Stock 2012-09-10 4 J 0 21300.0 57.9293 D 333919.0 D Non-Qualified Stock Option (right to buy) 28.6233 2012-09-10 4 J 0 21300.0 D 2004-12-09 2012-12-09 Common Stock 21300.0 53700.0 D On September 10, 2012, the broker under the reporting person's Rule 10b5-1 Trading Plan erroneously sold 21,300 shares purportedly under that Rule 10b5-1 Plan due to a clerical error by the broker. On September 11, 2012, the broker unwound the trade through the broker's error account. Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: George A. Lopez, M.D. 2012-09-11