0000883984-12-000101.txt : 20121018 0000883984-12-000101.hdr.sgml : 20121018 20121018173337 ACCESSION NUMBER: 0000883984-12-000101 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121018 FILED AS OF DATE: 20121018 DATE AS OF CHANGE: 20121018 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: SWINNEY ROBERT S CENTRAL INDEX KEY: 0001073398 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 121151089 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 2012-10-18 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073398 SWINNEY ROBERT S 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2012-10-18 4 X 0 1875.0 28.813 A 8875.0 D Common Stock 750.0 I by Spouse Non-Qualified Stock Option (right to buy) 28.813 2012-10-18 4 X 0 1875.0 28.8133 D 2002-05-02 2012-11-02 Common Stock 1875.0 0.0 D Stock held by spouse. Dr. Swinney disclaims beneficial ownership of all shares held by his spouse. By: Lynn DeMartini For: Robert S. Swinney, M.D. 2012-10-18