-----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, K+hyDvCyUG2twbMROxvgp1YR82/mQJqNaZ2eKygjhnGApqyWb1ZxrAdsPTHGkLUx DR4aOOVWus+kJWyBwr1pxQ== 0000914190-05-000441.txt : 20051114 0000914190-05-000441.hdr.sgml : 20051111 20051114154603 ACCESSION NUMBER: 0000914190-05-000441 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050930 FILED AS OF DATE: 20051114 DATE AS OF CHANGE: 20051114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANKENY PHILIP D CENTRAL INDEX KEY: 0001235411 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 051201257 BUSINESS ADDRESS: STREET 1: 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 2005-09-30 0 0 0000924717 SURMODICS INC SRDX 0001235411 ANKENY PHILIP D 353 FERNDALE ROAD SOUTH WAYZATA MN 55391 0 1 0 0 CFO & VP, Business Development Common Stock 11415 D Employee Stock Option (Right to Buy) 35.61 2010-05-19 Common Stock 10000 10000 D Non-Qualified Stock Option (Right to Buy) 21.36 2011-01-26 Common Stock 15000 15000 D Non-Qualified Stock Option (Right to Buy) 29.37 2012-01-31 Common Stock 60000 60000 D Exercisable in annual increments of 2,000 shares each commencing on 5/19/04. Exercisable in annual increments of 3,000 shares each commencing on 1/26/05. Exercisable in annual increments of 12,000 shares each commencing 1/31/06. Includes 896 shares acquired through Employee Stock Purchase Plan for the phase ended 2/28/05. /s/ Philip D. Ankeny 2005-11-14 -----END PRIVACY-ENHANCED MESSAGE-----