-----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, OEt4UKYZufZzJKQvRcWX5GbhJOtgiUeVQuvOoY7o1QyfpJveXD+uXtHcwXm74iJ5 AgsHvGYWueQOHIoDz+l5TQ== 0000914190-04-000045.txt : 20040129 0000914190-04-000045.hdr.sgml : 20040129 20040129164426 ACCESSION NUMBER: 0000914190-04-000045 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: ANKENY PHILIP D CENTRAL INDEX KEY: 0001235411 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 04552984 BUSINESS ADDRESS: STREET 1: SURMODICS INC STREET 2: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN 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 0001235411 ANKENY PHILIP D 353 FERNDALE ROAD SOUTH WAYZATA MN 55391 0 1 0 0 Chief Financial Officer Employee Stock Option (Right to Buy) 35.61 2010-05-19 Common Stock 10000 10000 D Non-Qualified Stock Option (Right to Buy) 21.36 2004-01-26 4 A 0 15000 0 A 2011-01-26 Common Stock 15000 15000 D Exercisable in annual increments of 2,000 shares each commencing 5/19/04. Exercisable in annual increments of 3,000 shares each commencing 1/26/05. Philip D. Ankeny 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----