-----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, MhXTfS8Yx0Oq/Ey20AKzBvZasdmajXiPsQdxIXHL4PqqUytj86aU1CPmyRL0VYQf wehfqPrVOrLrLZoqz2Ty4A== 0001019687-03-001572.txt : 20030805 0001019687-03-001572.hdr.sgml : 20030805 20030805150606 ACCESSION NUMBER: 0001019687-03-001572 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030804 FILED AS OF DATE: 20030805 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: 03823583 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 X0201 42003-08-04 0000883984 ICU MEDICAL INC/DE ICUI 0001073397 LOPEZ GEORGE A 951 CALLE AMANECER SAN CLEMENTE CA 92673 1110Chairman, Pres., CEOCommon Stock2003-08-054P0100023.85A1000DCommon Stock2003-08-054P010023.79A100DCommon Stock2003-08-054P090023.99A900DCommon Stock2003-08-054P0100023.71A1000DCommon Stock2003-08-054P08123.74A81DCommon Stock2003-08-054P091923.93A5000DCommon Stock owned by George A. Lopez, MD 2nd Fam. Ltd. Ptsh1186843ISee NoteCommon Stock owned by Lopez Family Trust2 3223ISee NoteOptions to Acquire Common Stock5.541999-01-302008-01-31Common Stock300000300000DOptions to Acquire Common Stock10.251999-01-302007-06-26Common Stock352763352763DOptions to Acquire Common Stock8.172001-12-312009-01-02Common Stock101017101017DOptions to Acquire Common Stock8.171999-01-302009-01-02Common Stock4898248982DOptions to Acquire Common Stock8.172001-11-252009-01-02Common Stock975000975000DOptions to Acquire Common Stock10.672001-12-312010-09-02Common Stock1651216512DOptions to Acquire Common Stock10.332001-12-312010-12-20Common Stock133488133488DOptions to Acquire Common Stock (Granted 9/9/00)14.631988-08-082011-09-09Common Stock300000300000DOptions to Acquire Common Stock (Granted 12/9/00)18.631988-08-082011-12-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 3/9/2001)19.461988-08-082012-03-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 6/8/01)25.621988-08-082012-06-08Common Stock7500075000DOptions to Acquire Common Stock (Granted 9/9/01)23.771988-08-082012-09-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 12/9/01)28.621988-08-082012-12-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 3/8/02)33.551988-08-082013-03-08Common Stock7500075000DOptions to Acquire Common Stock (Granted 6/9/02)30.181988-08-082013-06-09Common Stock7500075000DOptions to Acquire Common Stock (Granted 9/9/02)36.031988-08-082013-09-09Common Stock5000050000DOptions to Acquire Common Stock (Granted 12/9/02)36.871988-08-082013-12-09Common Stock5000050000DOptions to Acquire Common Sto ck (Granted 3/9/03)26.151988-08-082014-03-09Common Stock5000050000DOptions to Acquire Common Stock (Granted 6/9/03)32.681988-08-082014-06-09Common Stock5000050000DExcludes 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 owners 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 their 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.Not a new transaction. Filed for the sole purpose of supplying the date as provided by the SEC. In fact, no date applies.Op tions exercisable one-third annually over the first three anniversaries of the grant date.George A. Lopez, M.D.2003-08-05 -----END PRIVACY-ENHANCED MESSAGE-----