0000883984-13-000028.txt : 20130513 0000883984-13-000028.hdr.sgml : 20130513 20130513144255 ACCESSION NUMBER: 0000883984-13-000028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130510 FILED AS OF DATE: 20130513 DATE AS OF CHANGE: 20130513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHERMAN RICHARD MD CENTRAL INDEX KEY: 0001073391 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34634 FILM NUMBER: 13836832 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 X0306 4 2013-05-10 0 0000883984 ICU MEDICAL INC/DE ICUI 0001073391 SHERMAN RICHARD MD 951 CALLE AMANECER SAN CLEMENTE CA 92673 1 0 0 0 Common Stock 2013-05-11 4 M 0 1022.0 0.0 A 68823 D Common Stock 2013-05-10 4 A 0 818.0 A 2014-05-09 2014-05-09 Common Stock 818 818 D Non-Qualified Stock Option (right to buy) 67.25 2013-05-10 4 A 0 2670.0 67.25 A 2014-05-09 2023-05-10 Common Stock 2670 2670 D Non-Qualified Stock Option (right to buy) 2013-05-11 4 M 0 1022.0 D 2013-05-11 2013-05-11 Common Stock 1022 0 D These securities are Restricted Stock Units. There is neither a purchase price nor an exercise price for the Restricted Stock Units. By: Lynn DeMartini For: Richard H. Sherman, M.D. 2013-05-13