0000883984-13-000045.txt : 20130912 0000883984-13-000045.hdr.sgml : 20130912 20130912174328 ACCESSION NUMBER: 0000883984-13-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130912 FILED AS OF DATE: 20130912 DATE AS OF CHANGE: 20130912 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: COSTELLO RICHARD A CENTRAL INDEX KEY: 0001073401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 131094884 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 2013-09-12 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073401 COSTELLO RICHARD A 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Sales Common Stock 2013-09-12 4 M 0 1000.0 36.17 A 2387 D Common Stock 2013-09-12 4 F 0 518.0 69.78 D 1869 D Common Stock 2013-09-12 4 F 0 181.0 69.78 D 1688 D Common Stock 2013-09-12 4 M 0 10000.0 36.035 A 11688 D Common Stock 2013-09-12 4 F 0 5164.0 69.78 D 6524 D Common Stock 2013-09-12 4 F 0 1817.0 69.78 D 4707 D Non-Qualified Stock Option (right to buy) 36.035 2013-09-12 4 M 0 10000.0 D 2005-09-20 2013-09-20 Common Stock 10000 0 D Non-Qualified Stock Option (right to buy) 36.17 2013-09-12 4 M 0 1000.0 D 2004-12-31 2013-09-28 Common Stock 1000 0 D Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Richard A. Costello 2013-09-12