-----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, WT/5KRKrCZM1HhBeNS4Nx7JCrU/MvD1AywWtf3i1eUGB4vU8yRcLvFwJ/ff/Jh0j Z9KcWGSqzJVfbuRNmcQk8w== 0000914190-04-000055.txt : 20040204 0000914190-04-000055.hdr.sgml : 20040204 20040204135101 ACCESSION NUMBER: 0000914190-04-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040202 FILED AS OF DATE: 20040204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLSON RICHARD C CENTRAL INDEX KEY: 0001272493 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 04566000 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 2004-02-02 0000924717 SURMODICS INC SRDX 0001272493 CARLSON RICHARD C 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP of Strategic Planning Common Stock 2004-02-02 4 S 0 2235 20.54 D 0 D Common Stock 2004-02-02 4 S 0 400 20.55 D 0 D Common Stock 2004-02-02 4 S 0 152 20.83 D 0 D Common Stock 2004-02-02 4 S 0 100 20.84 D 0 D Common Stock 2004-02-02 4 S 0 548 20.78 D 0 D Common Stock 2004-02-02 4 S 0 2400 20.53 D 0 D Common Stock 2004-02-02 4 S 0 1900 20.50 D 0 D Common Stock 2004-02-02 4 S 0 1365 20.52 D 0 D Common Stock 2004-02-02 4 S 0 100 20.57 D 0 D Common Stock 2004-02-02 4 S 0 300 20.56 D 1752 D Employee Stock Option (Right to Buy) 3.875 2005-09-21 Common Stock 3000 3000 D Employee Stock Option (Right to Buy) 8.063 2006-09-20 Common Stock 12000 12000 D Employee Stock Option (Right to Buy) 25.094 2007-09-18 Common Stock 8000 8000 D Employee Stock Option (Right to Buy) 29.17 2010-03-17 Common Stock 10000 10000 D Non-Qualified Stock Option (Right to Buy) 21.36 2011-01-26 Common Stock 10000 10000 D Exercisable in annual increments of 600 shares each commencing 9/21/99. Exercisable in annual increments of 2,400 shares each commencing 9/20/00. Exercisable in annual increments of 1,600 shares each commencing 9/18/01. Exercisable in annual increments of 2,000 shares each commencing 3/17/04. Exercisable in annual increments of 2,000 shares each commencing 1/26/05. Richard C. Carlson 2004-02-04 -----END PRIVACY-ENHANCED MESSAGE-----