0001073391-15-000001.txt : 20150114 0001073391-15-000001.hdr.sgml : 20150114 20150114110206 ACCESSION NUMBER: 0001073391-15-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150113 FILED AS OF DATE: 20150114 DATE AS OF CHANGE: 20150114 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: SHERMAN RICHARD MD CENTRAL INDEX KEY: 0001073391 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 15526398 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 2015-01-13 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073391 SHERMAN RICHARD MD 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2015-01-13 4 X 0 8500.0 35.0 A 76291 D Common Stock 2015-01-13 4 S 0 8500.0 85.0 D 67791 D Non-Qualified Stock Option (right to buy) 35.0 2015-01-13 4 X 0 8500.0 D 2011-08-04 2017-08-14 Common Stock 8500 0 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on November 20, 2014. Transaction is the exercise of a derivative security; see Column 2. By: Lynn Ehrhart For: Richrd H. Sherman, M.D. 2015-01-13