-----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, LUUtyqjteVUdgF/9lYputAiApC8nncAQPuOFoFhZWX4RvDLr07CvCT97CjnN5d4E oTW/i7s2reQ3ompTD31niA== 0000914190-04-000047.txt : 20040129 0000914190-04-000047.hdr.sgml : 20040129 20040129171918 ACCESSION NUMBER: 0000914190-04-000047 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VERSEN MARIE J CENTRAL INDEX KEY: 0001178422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 04553443 BUSINESS ADDRESS: STREET 1: C/O 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 0001178422 VERSEN MARIE J 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Vice President Common Stock 39514 D Employee Stock Option (Right to Buy) 3.875 2005-09-21 Common Stock 5000 5000 D Employee Stock Option (Right to Buy) 8.0625 2006-09-20 Common Stock 16000 16000 D Employee Stock Option (Right to Buy) 25.094 2007-09-18 Common Stock 12000 12000 D Employee Stock Option (Right to Buy) 29.17 2010-03-17 Common Stock 8000 8000 D Non-Qualified Stock Option (Right to Buy) 21.36 2004-01-26 4 A 0 5000 0 A 2011-01-26 Common Stock 5000 5000 D Exercisable in annual increments of 1,000 shares each commencing 9/21/99. Exercisable in annual increments of 3,200 shares each commencing 9/20/00. Exercisable in annual increments of 2,400 shares each commencing 9/18/01. Exercisable in annual increments of 1,600 shares each commencing 3/17/04. Exercisable in annual increments of 1,000 shares each commencing 1/26/05. Marie J. Versen by Philip D. Ankeny pursuant to power of attorney filed herewith 2004-01-29 EX-24 3 versenpoa.htm
POWER OF ATTORNEY





 The undersigned hereby constitutes and appoints Philip D. Ankeny, David C.

Grorud and Melodie R. Rose ("Attorney-in-Fact"), or any one of them acting alone,

the undersigned's true and lawful attorney-in-fact and agent with full power of

substitution and resubstitution, for the undersigned and in the undersigned's name,

place and stead, in any and all capacities, to sign any or all Forms 4 or Forms 5

relating to beneficial ownership of securities of SurModics (the "Issuer"), to file the

same, with all exhibits thereto and other documents in connection therewith, with the

Securities and Exchange Commission and to deliver a copy of the same to the Issuer,

granting unto said attorney-in-fact and agent full power and authority to do and

perform each and every act and thing requisite and necessary to be done in and about

the premises, as fully to all intents and purposes as the undersigned might or could

do in person, hereby ratifying and confirming all said attorney-in-fact and agent, or

his substitute or substitutes, may lawfully do or cause to be done by virtue thereof.

The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such

capacity at the request of the undersigned, is not assuming any of the undersigned's

responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.



 This Power of Attorney shall remain in effect until such time as the

undersigned is no longer subject to the provisions of Section 16 of the Securities

Exchange Act of 1934 with respect to securities of the Issuer or until this Power of

Attorney is replaced by a later dated Power of Attorney or revoked by the

undersigned in writing.



 The undersigned hereby indemnifies the Attorneys-in-Fact for all losses and

costs the Attorneys-in-Fact may incur in connection with or arising from the

Attorneys-in-Fact's execution of their authorities granted hereunder.



 IN WITNESS WHEREOF, the undersigned has caused this Power of

Attorney to be executed as of this 20th day of November, 2003.





     /s/ Marie J. Versen

     Marie J. Versen

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