-----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, A3u3uGDewCT99YQT5UL6KiIHDim6ZCownNS/BLVdx1Ww0ZG/06sGiry9QJXcaZwk 7pmF+LGmDAE5gaggNA6PnQ== 0000914190-04-000347.txt : 20041117 0000914190-04-000347.hdr.sgml : 20041117 20041117152724 ACCESSION NUMBER: 0000914190-04-000347 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041115 FILED AS OF DATE: 20041117 DATE AS OF CHANGE: 20041117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KEOUGH STEVEN J CENTRAL INDEX KEY: 0001278044 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 041152123 BUSINESS ADDRESS: BUSINESS PHONE: 9528293261 MAIL 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 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-11-15 0000924717 SURMODICS INC SRDX 0001278044 KEOUGH STEVEN J 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344-3523 0 1 0 0 VP/Chief IP Cnsl/GM-New Vntrs Common Stock 2004-11-15 4 A 0 5000 0 A 10000 D Non-Qualified Stock Option (Right to Buy) 21.36 2011-01-26 Common Stock 35000 35000 D Exercisable in annual increments of 7,000 shares each commencing 1/26/05. Steven J. Keough 2004-11-17 -----END PRIVACY-ENHANCED MESSAGE-----