-----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, Nql8kPboSR5RRZFx501R/guono4emaq1127yG4k/en5w2MQDeUFBkPftC3rB4txG ixmd1kJ8e0L0Xgw/9K2o/A== 0000914190-04-000234.txt : 20040707 0000914190-04-000234.hdr.sgml : 20040707 20040707181345 ACCESSION NUMBER: 0000914190-04-000234 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040517 FILED AS OF DATE: 20040707 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OLSON CHARLES W CENTRAL INDEX KEY: 0001286125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 04904930 BUSINESS ADDRESS: STREET 1: C/O SURMODICS INC STREET 2: 9924 WEST 74TH ST CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 9528292700 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SURMODICS INC CENTRAL INDEX KEY: 0000924717 STANDARD INDUSTRIAL CLASSIFICATION: PATENT OWNERS & LESSORS [6794] 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 X0202 4 2004-05-17 0000924717 SURMODICS INC SRDX 0001286125 OLSON CHARLES W 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344-3523 0 1 0 0 General Manager Common Stock 18940 D Common Stock 800 I By IRA Common Stock 190 I By Son Common Stock 190 I By Daughter Incentive Stock Option (Right to Buy) 48.85 2008-07-23 Common Stock 800 800 D Incentive Stock Option (Right to Buy) 29.50 2010-01-15 Common Stock 1000 1000 D Incentive Stock Option (Right to Buy) 21.82 2004-05-17 4 A 0 5000 0 A 2011-05-17 Common Stock 5000 5000 D Exercisable in annual increments of 160 shares commencing 7/23/02. Exercisable in annual increments of 200 shares commencing on 1/15/04. Exercisable in annual increments of 1,000 shares commencing on 5/17/05. Charles W. Olson 2004-07-07 -----END PRIVACY-ENHANCED MESSAGE-----