0000883984-13-000043.txt : 20130905 0000883984-13-000043.hdr.sgml : 20130905 20130905172221 ACCESSION NUMBER: 0000883984-13-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130905 FILED AS OF DATE: 20130905 DATE AS OF CHANGE: 20130905 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: BRUMMETT BURCAR ALISON CENTRAL INDEX KEY: 0001189727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 131081141 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2013-09-05 0 0000883984 ICU MEDICAL INC/DE ICUI 0001189727 BRUMMETT BURCAR ALISON 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Product Develop Common Stock 2013-09-05 4 M 0 2500.0 36.035 A 3261 D Common Stock 2013-09-05 4 F 0 1264.0 71.22 D 1997 D Common Stock 2013-09-05 4 F 0 464.0 71.22 D 1533 D Non-Qualified Stock Option (right to buy) 36.035 2013-09-05 4 M 0 2500.0 D 2005-09-20 2013-09-20 Common Stock 2500 0 D Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Alison D. Burcar 2013-09-05