0001190251-16-000011.txt : 20160510 0001190251-16-000011.hdr.sgml : 20160510 20160510185342 ACCESSION NUMBER: 0001190251-16-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160510 FILED AS OF DATE: 20160510 DATE AS OF CHANGE: 20160510 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: SAUCEDO JOSEPH R CENTRAL INDEX KEY: 0001190251 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 161637338 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 2016-05-10 0 0000883984 ICU MEDICAL INC/DE ICUI 0001190251 SAUCEDO JOSEPH R 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2016-05-10 4 X 0 1875.0 34.785 A 3431 D Common Stock 2016-05-10 4 S 0 1875.0 105.0 D 1556 D Incentive Stock Option (right to buy) 34.785 2016-05-10 4 X 0 1875.0 34.785 D 2005-11-16 2016-05-16 Common Stock 1875 0 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 30, 2015. These options were inadvertently titled as incentive stock options when the award was reported on Form 4 filed on May 17, 2005, these are actually Non-Qualified Stock Options. Transaction is the exercise of a derivative security; see Column 2. By: Paula Darbyshire For: Joseph R. Saucedo 2016-05-10