-----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, FSg5OoG0ZrYYXShMKJQwSJztYpgAqvSdff+ZYQTfTnM5yEPis1Ayok9Gi3YylGDp fXDH9o/x0gXXfXXFBGDyZg== 0000914190-04-000040.txt : 20040129 0000914190-04-000040.hdr.sgml : 20040129 20040129163236 ACCESSION NUMBER: 0000914190-04-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER LOREN R CENTRAL INDEX KEY: 0001272490 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 04552870 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 4 1 edgar.xml PRIMARY DOCUMENT X0201 4 2004-01-26 0000924717 SURMODICS INC SRDX 0001272490 MILLER LOREN R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Vice President and Controller Common Stock 333 D Employee Stock Option (Right to Buy) 8.375 2006-07-19 Common Stock 2000 2000 D Employee Stock Option (Right to Buy) 8.063 2006-09-20 Common Stock 5000 5000 D Employee Stock Option (Right to Buy) 25.094 2007-09-18 Common Stock 5000 5000 D Employee Stock Option (Right to Buy) 34.85 2008-11-12 Common Stock 2500 2500 D Employee Stock Option (Right to Buy) 29.50 2010-01-15 Common Stock 3000 3000 D Employee Stock Option (Right to Buy) 29.17 2010-03-17 Common Stock 2500 2500 D Non-Qualified Stock Option (Right to Buy) 21.36 2004-01-26 4 A 0 10000 0 A 2011-01-26 Common Stock 10000 10000 D Exercisable in annual increments of 400 shares each commencing on 7/19/00. Exercisable in annual increments of 1,000 shares each commencing on 9/20/00. Exercisable in annual increments of 1,000 shares each commencing on 9/18/01. Exercisable in annual increments of 500 shares each commencing on 11/12/02. Exercisable in annual increments of 600 shares each commencing on 1/15/04. Exercisable in annual increments of 500 shares each commencing on 3/17/04. Exercisable in annual increments of 2,000 shares each commencing on 1/26/05. Loren R. Miller 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----