0000883984-11-000026.txt : 20110425 0000883984-11-000026.hdr.sgml : 20110425 20110425115306 ACCESSION NUMBER: 0000883984-11-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110211 FILED AS OF DATE: 20110425 DATE AS OF CHANGE: 20110425 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COSTELLO RICHARD A CENTRAL INDEX KEY: 0001073401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 11776759 MAIL ADDRESS: STREET 1: C/O ICU MEDICAL INC STREET 2: 951 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 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 X0303 4 2011-02-11 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073401 COSTELLO RICHARD A 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Sales Common Stock 2011-02-11 2011-02-11 4 X 0 6000 23.9 A 6000 D Common Stock 2011-02-11 2011-02-11 4 S 0 6000 41.5035 D 0 D Common Stock 2011-02-11 2011-02-11 4 X 0 5000 23.9 A 5000 D Common Stock 2011-02-11 2011-02-11 4 S 0 5000 41.5369 D 0 D Non-Qualified Stock Option (right to buy) 23.9 2011-02-11 2011-02-11 4 X 0 6000 D 2009-12-31 2012-09-13 Common Stock 6000 5000 D Non-Qualified Stock Option (right to buy) 23.9 2011-02-11 2011-02-11 4 X 0 5000 D 2009-12-31 2012-09-13 Common Stock 5000 0 D Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Richard A. Costello 2011-04-21