-----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, GEK8/cayeDt57d/Esejzq35JUSexP/5DOAok4xl2aQRZsOYHN2W8QRNx6WVKAx/C +p8V4jf7JBOOMV0H8wcbCw== 0000914190-05-000444.txt : 20051114 0000914190-05-000444.hdr.sgml : 20051111 20051114155309 ACCESSION NUMBER: 0000914190-05-000444 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: MILLER LOREN R CENTRAL INDEX KEY: 0001272490 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 051201378 MAIL ADDRESS: STREET 1: C/O SURMODICS, INC. STREET 2: 9924 WEST 74TH STREET CITY: EDEN PREIRIE STATE: MI 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 0001272490 MILLER LOREN R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344-3523 0 1 0 0 Vice President & Controller Common Stock 6401 D Employee Stock Option (Right to Buy) 8.375 2006-07-19 Common Stock 2000 1200 D Employee Stock Option (Right to Buy) 8.063 2006-09-20 Common Stock 5000 3000 D Employee Stock Option (Right to Buy) 25.094 2007-09-18 Common Stock 5000 5000 D Employee Stock Option (Right to Buy) 34.85 2008-11-12 Common Stock 2500 2500 D Employee Stock Option (Right to Buy) 29.50 2010-01-15 Common Stock 3000 3000 D Employee Stock Option (Right to Buy) 29.17 2010-03-17 Common Stock 2500 2500 D Non-Qualified Stock Option (Right to Buy) 21.36 2011-01-26 Common Stock 10000 10000 D Non-Qualified Stock Option 29.37 2012-01-31 Common Stock 30000 30000 D Exercisable in annual increments of 400 shares each commencing on 7/19/00. Exercisable in annual increments of 1,000 shares each commencing on 9/20/00. Exercisable in annual increments of 1,000 shares each commencing on 9/18/01. Exercisable in annual increments of 500 shares each commencing on 11/12/02. Exercisable in annual increments of 600 shares each commencing on 1/15/04. Exercisable in annual increments of 500 shares each commencing on 3/17/04. Exercisable in annual increments of 2,000 shares each commencing on 1/26/05. Exercisable in annual increments of 6,000 shares each commencing 1/31/06. Includes 574 shares acquired through Employee Stock Purchase Plan for the phase ended 2/28/05. /s/ Loren R. Miller 2005-11-14 -----END PRIVACY-ENHANCED MESSAGE-----