-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Rdky4iwtgW6HWQYMqr6KTfkQS1cQgLd5tM8X8mH85V5tt/AcEKKq/PKzSFlygZPd o5E74t1fEcMduKEoE7WbQA== 0001019687-03-001235.txt : 20030610 0001019687-03-001235.hdr.sgml : 20030610 20030610123636 ACCESSION NUMBER: 0001019687-03-001235 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030609 FILED AS OF DATE: 20030610 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: 92769 BUSINESS PHONE: 9493662183 MAIL ADDRESS: STREET 1: 951 CALLE AMANELER CITY: SANCLEMENTE STATE: CA ZIP: 92769 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOPEZ GEORGE A CENTRAL INDEX KEY: 0001073397 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19974 FILM NUMBER: 03738616 BUSINESS ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 9493662183 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 4 1 edgar.xml PRIMARY DOCUMENT X0101 42003-06-09 0000883984 ICU MEDICAL INC/DE ICUI 0001073397 LOPEZ GEORGE A 1110Chairman, President, CEOCommon Stock owned by George A. Lopez, M.D. 2nd Family LP1988-08-084A011868430A1186843I(a)Common Stock owned by Lopez Family Trust1988-08-084A0232230A23223I(a)Options to Acquire Common Stock5.541988-08-084A03000000A1999-01-302008-01-31Common Stock300000< postTransactionAmounts>300000DOptions to Acquire Common Stock10.251988-08-084A03527630A1999-01-30< expirationDate>2007-06-27Common Stock352763352763DOptions to Acquire Common Stock8.171988-08-084A01010170A2001-12-312009-01-02Common Stock101017101017DOptions to Acquire Common Stock8.171988-08-08 4A0489820A1999-01-302009-01-02Common Stock4898248982DOptions to Acquire Common Stock8.171988-08-084A09750000A2001-11-252009-01-02Common Stock975000~~975000~~DOptions to Acquire Common Stock10.671988-08-084A0165120A2001-12-312010 - -12-20Common Stock1651216512DOptions to Acquire Common Stock10.331988-08-084A01334880A2001-12-312010-12-20Common Stock133488133488DOptions to Acquire Common Stock (Granted 9/9/00)14.631988-08-08< footnoteId id="F1"/>4A03000000A1988-08-082011-09-09Common Stock300000300000DOptions to Acquire Common Stock (Granted 12/9/00)18.631988-08-084A0750000A1988-08-082011-12-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 3/9/01)19.461988-08-084A0750000A1988-08-082012-03-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 6/8/01)25.621988-08-084A0750000A1988-08-082012-06-08Common Stock7500075000DOptions to Acquire Common Stock (Granted 9/9/01)23.771988-08-084A0750000A1988-08-082012-09-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 12/9/01)28.621988-08-084A0750000A1988-08-082012-12-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 3/8/02)33.551988-08-084A0750000A1988-08-082013-03-08Common Stock7500075000DOptions to Acquire Common Stock (Granted 6/9/02)30.181988-08-08< transactionCoding>4A0750000A1988-08-082013-06-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 9/9/02)36.031988-08-084A0500000A1988-08-082013-09-09Common Stock5000050000DOptions to Acquire Common Stock (Granted (12/9/02)36.871988-08-084A0500000A1988-08-082013-12-09Common Stock5000050000DOptions to Acquire Common Stock (Granted 3/9/03)26.151988-08-084A0500000A1988-08-082014-03-09Common Stock5000050000DOptions to Acquire Common Stock (Granted 6/9/03) 32.682003-06-094A0500000A1988-08-082014-06-09Common Stock5000050000DNot a new transaction. Filed for the sole purpose of supplying the date as provided by the SEC. In fact, no date applies.Excludes 22,959 shares held by Diana K. Lopez, M.D. Dr. Lopez disclaims any beneficial interest in the shares held by his wife.Dr. Lopez holds a one percent general partnership interest in the Partnership. As general partner, he has power to vote and power to dispose of the 1,186,843 shares owned by the Partnership and may be deemed to be beneficial owner of such shares. The Partnership acquired the shares on 2/24/99 from Trusts for the benefit of the Lopez' children, the Christopher George Lopez Children's Trust and the Nicholas George Lopez Children's Trust, which own a 99% limited partnership interest in the Partnership. The Drs. Lopez are not trustees of and have no interest in t heir children's Trusts. Except to the extent of their undivided one percent general partnership interest in the assets of the Partnership, the Drs. Lopez disclaim any beneficial ownership of the shares owned by the Partnership.Drs. Lopez are trustees and beneficiaries of the Family Trust. Except to the extent of their pecuniary interests as beneficiaries of the Family Trust, Drs. Lopez disclaim any beneficial ownership of the shares owned by the Family Trust.Options exercisable one-third annually over the first three anniversaries of the grant date. George A. Lopez, M.D.2003-06-09 ~~-----END PRIVACY-ENHANCED MESSAGE-----~~