-----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, N8GEEOKaeOACtfn8wU9OXpQPk0o3l++Jw3+me1Dxlu3hq6APhB7Uw5DvbM+ZuIdy QLXbr2xnYNRfEaldTrZBdw== 0000883984-05-000003.txt : 20050201 0000883984-05-000003.hdr.sgml : 20050201 20050201203652 ACCESSION NUMBER: 0000883984-05-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050129 FILED AS OF DATE: 20050201 DATE AS OF CHANGE: 20050201 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: 05567256 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 edgardoc.xml PRIMARY DOCUMENT X0202 4 2005-01-29 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073397 LOPEZ GEORGE A C/O ICU MEDICAL 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 1 0 1 Chairman Chairman Bonus Award 2005-01-29 4 A 0 0 0 A Common Stock 0 0 D The reported bonus award entitles the reporting person to receive, on the sixth anniversary of the date of the award, cash in the amount of $1,000,000, subject to certain conditions. If, between the date of the award and the payment date, (A) the market price of the common stock equals or exceeds $50 per share for 10 consecutive trading days, the amount payable at the payment date will be $1,500,000, or (B) if the issuer's market capitalization equals or exceeds $1 billion for 10 consecutive trading days, the amount payable at the payment date will be $2,000,000. Payment may be accelerated if the current chief executive officer of the issuer ceases to be the chief executive officer. By: Lynn DeMartini For: George A. Lopez, M.D. 2005-02-01 -----END PRIVACY-ENHANCED MESSAGE-----