-----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, OwJ57VzpfnUQ3DwDUg5/rDSzLh9TgmftZBblapFjTJeoCy1OmnqxPkxr4X3QskKi FbjoJPpRXl49abZxb43oGA== 0000914190-04-000338.txt : 20041112 0000914190-04-000338.hdr.sgml : 20041111 20041112124049 ACCESSION NUMBER: 0000914190-04-000338 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20041112 DATE AS OF CHANGE: 20041112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUIRE PATRICK E CENTRAL INDEX KEY: 0001178423 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 041137414 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: 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 5 1 edgar.xml PRIMARY DOCUMENT X0202 5 2004-09-30 0 1 0000924717 SURMODICS INC SRDX 0001178423 GUIRE PATRICK E 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 1 0 0 Senior Vice President Common Stock 2002-08-07 4 P 0 L 1700 28.11 A 219179 D Common Stock 2003-10-17 5 G 0 1450 0 D 217729 D Common Stock 2004-07-23 5 G 0 1000 0 D 217329 D Common Stock 2002-08-13 4 P 0 L 490 29.32 A 132490 I By Spouse Employee Stock Option (Right to Buy) 3.875 2005-09-21 Common Stock 10000 10000 D Employee Stock Option (Right to Buy) 29.17 2010-03-17 Common Stock 10000 10000 D Employee Stock Option (Right to Buy) 21.36 2011-01-06 Common Stock 5000 5000 D Includes 600 shares acquired in Employee Stock Purchase Plan. Exercisable in annual increments of 2,000 shares each commencing 9/21/99 Exercisable in annual increments of 2,000 shares each commencing 3/17/04 Exercisable in annual increments of 1,000 shares each commencing 1/26/05. Patrick E. Guire 2004-11-12 -----END PRIVACY-ENHANCED MESSAGE-----