-----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, RrzuKcn+FISjfe2L/9XSiDNp3gx3OQZD7C+lzdNPJy+AKQL15BPAAubhQg65PWIc JIvmmGMJ6BsE0EbdHejAlw== 0001019687-03-001279.txt : 20030617 0001019687-03-001279.hdr.sgml : 20030617 20030616195018 ACCESSION NUMBER: 0001019687-03-001279 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030613 FILED AS OF DATE: 20030617 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: 000-19974 FILM NUMBER: 03746449 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 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 4 1 edgar.xml PRIMARY DOCUMENT X0101 42003-06-13 0000883984 ICU MEDICAL INC/DE ICUI 0001189727 BRUMMETT BURCAR ALISON 0100Vice President MarketingCommon Stock2003-06-134X0112510.0833A0DCommon Stock2003-06-134S0112532.20D0DCommon Stock2003-06-134X0150015.0417A0IShares/options held by spouse; as such considered a beneficial owner.Common Stock2003-06-134S0150032.20D0IShares/options held by spouse; as such considered a beneficial owner.Common Stock2003-06-134X025030.02A0IShares/options held by spouse; as such considered a beneficial owner.Common Stock2003-06-134S025032.20D0IShares/options held by spouse; as such considered a beneficial owner.Options to Acquire Common Stock10.08332003-06-134A011250D2001-11-252011-02-09Common Stock56254500DOptions to Acquire Common Stock (Grant 11/20/00)17.93751988-08-084A000A1988-08-082011-11-20Common Stock15001500D< derivativeSecurity>Options to Acquire Common Stock (Grant 6/10/02)30.021988-08-084A000A1988-08-082013-06-10Common Stock1000100DOptions to Acquire Common Stock (Grant 9/20/02)36.0351988-08-084A000A1988-08-082013-09-20Common Stock25002500DOptions to Acquire Common Stock (Grant 2/5/03)30.351988-08-084A000A1988-08-082014-02-05Common Stock30003000DOptions to Acquire Common Stock (5/1/00)15.04172003-06-134S015000D1988-08-082011-05-01Common Stock15000ISh ares/options held by spouse; as such considered a beneficial owner.Options to Acquire Common Stock (6/11/02)30.022003-06-134S02500D1988-08-082013-06-10Common Stock750500IShares/options held by spouse; as such considered a beneficial owner.Options to Acquire Common Stock (Grant 1/2/03)37.081988-08-084A000A1988-08-082014-01-02Common Stock10001000IShares/options held by spouse; as such considered a beneficial owner.Shares/options held by spouse; as such considered a beneficial owner.Options exercisable one-third annually over the first three anniversaries of the grant date.Alison D. Burcar2003-06-06 -----END PRIVACY-ENHANCED MESSAGE-----