0000883984-13-000063.txt : 20131107 0000883984-13-000063.hdr.sgml : 20131107 20131107191508 ACCESSION NUMBER: 0000883984-13-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131107 FILED AS OF DATE: 20131107 DATE AS OF CHANGE: 20131107 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: 131202209 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 2013-11-07 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073398 SWINNEY ROBERT S 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2013-11-07 4 M 0 1875.0 39.555 A 18799 D Common Stock 2013-11-07 4 F 0 1205.0 61.53 D 17594 D Common Stock 2013-11-07 4 J 0 0.0 0.0 A 1125 I by Spouse Non-Qualified Stock Option (right to buy) 39.555 2013-11-07 4 M 0 1875.0 D 2003-05-16 2013-11-16 Common Stock 1875 0 D The Total for indirect shares beneficially owned has been adjusted to reflect a prior stock split that was not previously reported on Form 4 by the reporting person. The stock split occurred in March 1993, and should have been reflected on the Form 4 filed June 1993 and carried forward in subsequently filed Form 4s. Stock held by Spouse. Dr. Swinney disclaims beneficial ownership of all shares held by his spouse. Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Robert S. Swinney, M.D. 2013-11-07