-----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, JPAojqGuFuf2bqaMAw+COY7GJtR/C1lUjsUeDHQNsbIeilsSAAo9/urabfVfiCQS ShaLoYpBGHX4gzxNCab5EQ== 0000914190-05-000283.txt : 20050727 0000914190-05-000283.hdr.sgml : 20050727 20050727164257 ACCESSION NUMBER: 0000914190-05-000283 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050725 FILED AS OF DATE: 20050727 DATE AS OF CHANGE: 20050727 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: Lopez Paul A CENTRAL INDEX KEY: 0001328763 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 05977790 BUSINESS ADDRESS: BUSINESS PHONE: 952-829-2700 MAIL ADDRESS: STREET 1: SURMODICS, INC. STREET 2: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-07-25 0000924717 SURMODICS INC SRDX 0001328763 Lopez Paul A 1125 1/2 W. BALBOA BLVD. NEWPORT BEACH CA 92661 0 1 0 0 Vice President Common Stock 2005-07-25 4 A 0 10000 0 A 10000 D Employee Stock Option (Right to Buy) 38.07 2005-07-25 4 A 0 13000 0 A 2012-07-25 Common Stock 13000 13000 D Non-Qualified Stock Option (Right to Buy) 38.07 2005-07-25 4 A 0 87000 0 A 2012-07-25 Common Stock 87000 87000 D Exercisable in annual increments of 2,600 shares each commencing 07/25/2006. Exercisable in annual increments of 17,400 shares each commencing 07/25/2006. /s/ Paul A. Lopez 2005-07-27 -----END PRIVACY-ENHANCED MESSAGE-----