-----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, TFd316CLFDiP4DZHR9OJlp5AmCT2Tv+I83vlaE0DqkxcKVrV+AKxUnZoUjuNqNTk 4qlw0apOmpMn6U9evIXY4Q== 0000914190-03-000203.txt : 20031218 0000914190-03-000203.hdr.sgml : 20031218 20031218134837 ACCESSION NUMBER: 0000914190-03-000203 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031210 FILED AS OF DATE: 20031218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLS JANE M CENTRAL INDEX KEY: 0001272496 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 031061912 MAIL ADDRESS: STREET 1: C/O SURMODICS, INC. STREET 2: 9924 WEST 74TH STREET CITY: EDEN PREIRIE STATE: MI ZIP: 55344 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SURMODICS INC CENTRAL INDEX KEY: 0000924717 STANDARD INDUSTRIAL CLASSIFICATION: ADHESIVES & SEALANTS [2891] IRS NUMBER: 411356149 STATE OF INCORPORATION: MN FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 9924 W 74TH ST CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 6128292700 MAIL ADDRESS: STREET 1: 9924 WEST 74TH ST CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 FORMER COMPANY: FORMER CONFORMED NAME: BSI CORP DATE OF NAME CHANGE: 19970506 3 1 edgar.xml PRIMARY DOCUMENT X0201 32003-12-10 0 0000924717 SURMODICS INC SRDX 0001272496 NICHOLS JANE M 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0100Vice President MarketingEmployee Stock Option (Right to Buy)34.772009-11-18Common Stock5000DEmployee Stock Option (Right to Buy)29.17< /conversionOrExercisePrice>2010-03-17Common Stock2500DExercisable in annual increments of 1,000 shares commencing on 11/18/03Exercisable in annual increments of 500 shares commencing on 3/17/04Jane M. Nichols2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----