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