-----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, SePcorCocd4yPVy+yYgzIGj+/E60JFKvMbNpflmMzJ7fw3HRcuKap9BEfDODncMp siF7cPFb/fPG4degYUv6hg== 0000914190-04-000343.txt : 20041115 0000914190-04-000343.hdr.sgml : 20041115 20041115152212 ACCESSION NUMBER: 0000914190-04-000343 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031128 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OLSETH DALE R CENTRAL INDEX KEY: 0001077511 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 041144716 BUSINESS ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 6128292700 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4/A 1 edgar.xml PRIMARY DOCUMENT X0202 4/A 2003-11-28 2003-01-03 0000924717 SURMODICS INC SRDX 0001077511 OLSETH DALE R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 1 0 0 Chairman and CEO Common Stock 0 I (1) The reporting person mistakenly filed a Form 4 on December 3, 2003 reporting an acquisition of 2,500 shares of comon stock held indirectly by grandchildren's trust of which reporting person is not deemed to be a beneficial owner. Dale R. Olseth 2004-11-12 -----END PRIVACY-ENHANCED MESSAGE-----