0000883984-13-000067.txt : 20131114 0000883984-13-000067.hdr.sgml : 20131114 20131114193833 ACCESSION NUMBER: 0000883984-13-000067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131114 FILED AS OF DATE: 20131114 DATE AS OF CHANGE: 20131114 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: 131222083 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 2013-11-14 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 2013-11-14 4 X 0 312.0 43.12 A 597 D Common Stock 2013-11-14 4 X 0 312.0 32.31 A 909 D Common Stock 2013-11-14 4 X 0 13.0 30.35 A 922 D Common Stock 2013-11-14 4 S 0 637.0 62.234 D 285 D Non-Qualified Stock Option (right to buy) 30.35 2013-11-14 4 X 0 13.0 D 2006-02-05 2014-02-05 Common Stock 13 0 D Non-Qualified Stock Option (right to buy) 32.31 2013-11-14 4 X 0 312.0 D 2020-02-04 Common Stock 312 938 D Non-Qualified Stock Option (right to buy) 43.12 2013-11-14 4 X 0 312.0 D 2021-02-02 Common Stock 312 4688 D Transaction is the exercise of a derivative security; see Column 2. Options vest and are exercisable as to 25% of the underlying grant one year after the date of grant and in equal monthly installments thereafter for three additional years. By: Lynn DeMartini For: Richard A. Costello 2013-11-14