0000883984-12-000035.txt : 20120319 0000883984-12-000035.hdr.sgml : 20120319 20120319171707 ACCESSION NUMBER: 0000883984-12-000035 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120319 FILED AS OF DATE: 20120319 DATE AS OF CHANGE: 20120319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RIGGS STEVEN CENTRAL INDEX KEY: 0001189724 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 12701417 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 X0304 4 2012-03-19 0 0000883984 ICU MEDICAL INC/DE ICUI 0001189724 RIGGS STEVEN 951 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Vice President Operations Common Stock 2012-03-19 4 X 0 5000.0 30.3233 A 7286.0 D Common Stock 2012-03-19 4 S 0 5000.0 49.0 D 2286.0 D Non-Qualified Stock Option (right to buy) 30.3233 2012-03-19 4 X 0 5000.0 D 2004-12-31 2013-01-02 Common Stock 5000.0 0.0 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 Plan adopted by the reporting person on February 2, 2012. Transaction is the exercise of a derivative security; see Column 2. By: Lynn DeMartini For: Steven C. Riggs 2012-03-19