0001189727-19-000002.txt : 20190205 0001189727-19-000002.hdr.sgml : 20190205 20190205200142 ACCESSION NUMBER: 0001189727-19-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190205 FILED AS OF DATE: 20190205 DATE AS OF CHANGE: 20190205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURCAR ALISON D CENTRAL INDEX KEY: 0001189727 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 19569577 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 FORMER NAME: FORMER CONFORMED NAME: BRUMMETT BURCAR ALISON DATE OF NAME CHANGE: 20020916 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2019-02-05 0 0000883984 ICU MEDICAL INC/DE ICUI 0001189727 BURCAR ALISON D 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President and Gen'l Mgr. Common Stock 2019-02-05 4 M 0 1215 0.0 A 1215 D Common Stock 2019-02-05 4 F 0 445 0.0 D 770 D Common Stock 0.0 2019-02-05 4 M 0 1215 0.0 D 2019-02-05 Common Stock 1215 0 D These securities are Restricted Stock Units. There is neither a purchase price nor an exercise price for the Restricted Stock Units. One third of the units subject to the award shall vest on each of the first, second, and third anniversaries of the grant date. By: Alejandro Parras, Attorney-In-Fact For: Alison D. Burcar 2019-02-05