-----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/f0G5AzG352Ild9SV2CEiR8bZjks3VI6bsxllzI+LuKwQ6KmaPVJ0TvM9Dms6oD /FBmhEUMHJtc7nDPW3QlvQ== 0000914190-06-000490.txt : 20060726 0000914190-06-000490.hdr.sgml : 20060726 20060726180053 ACCESSION NUMBER: 0000914190-06-000490 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060725 FILED AS OF DATE: 20060726 DATE AS OF CHANGE: 20060726 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: KOCH DAVID A CENTRAL INDEX KEY: 0001066677 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 06982512 BUSINESS ADDRESS: BUSINESS PHONE: 6123402600 MAIL ADDRESS: STREET 1: C/O TRUST U/W CLARISSA GRAY STREET 2: 505 N HIGHWAY 169 SUITE 595 CITY: PLYMOUTH STATE: MN ZIP: 55441 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2006-07-25 0000924717 SURMODICS INC SRDX 0001066677 KOCH DAVID A 505 N. HIGHWAY 169 SUITE 595 PLYMOUTH MN 55441 1 0 0 0 Common Stock 2006-07-25 4 S 0 10112 36.00 D 760183 D Common Stock 2006-07-25 4 S 0 1800 36.01 D 758383 D Common Stock 2006-07-25 4 S 0 1600 36.02 D 756783 D Common Stock 2006-07-25 4 S 0 600 36.03 D 756183 D Common Stock 2006-07-25 4 S 0 646 36.04 D 755537 D Common Stock 2006-07-25 4 S 0 254 36.05 D 755283 D Common Stock 2006-07-25 4 S 0 100 36.09 D 754183 D Common Stock 2006-07-25 4 S 0 200 36.12 D 754983 D Common Stock 2006-07-25 4 S 0 100 36.15 D 754883 D Common Stock 2006-07-25 4 S 0 200 36.16 D 754683 D Common Stock 2006-07-25 4 S 0 600 36.50 D 754083 D Common Stock 2006-07-25 4 S 0 186 36.55 D 753897 D Common Stock 2006-07-25 4 S 0 302 36.56 D 753295 D Common Stock 2006-07-25 4 S 0 400 36.57 D 753195 D Common Stock 2006-07-25 4 S 0 100 36.58 D 753095 D Common Stock 2006-07-25 4 S 0 295 36.70 D 752800 D Common Stock 2006-07-25 4 S 0 83 36.73 D 752717 D Common Stock 2006-07-25 4 S 0 400 36.76 D 752317 D Common Stock 2006-07-25 4 S 0 100 36.78 D 752217 D Common Stock 2006-07-25 4 S 0 217 36.83 D 752000 D Common Stock 2006-07-25 4 S 0 100 36.84 D 751900 D Common Stock 2006-07-25 4 S 0 316 36.88 D 751584 D Common Stock 2006-07-25 4 S 0 100 36.94 D 751484 D Common Stock 2006-07-25 4 S 0 501 36.95 D 750983 D Common Stock 2006-07-25 4 S 0 100 36.99 D 750883 D Common Stock 2006-07-25 4 S 0 300 37.00 D 750583 D Common Stock 2006-07-25 4 S 0 400 37.01 D 750183 D Common Stock 2006-07-25 4 S 0 503 37.06 D 749680 D Common Stock 2006-07-25 4 S 0 97 37.07 D 749583 D Director Stock Option (Right to Buy) 6.563 2009-05-17 Common Stock 9000 9000 D Director Stock Option (Right to Buy) 25.094 2010-09-18 Common Stock 2000 2000 D Director Stock Option (Right to Buy) 34.85 2011-11-21 Common Stock 1000 1000 D Director Stock Option (Right to Buy) 29.17 2013-03-17 Common Stock 2000 2000 D Director Stock Option (Right to Buy) 21.82 2014-05-17 Common Stock 5000 5000 D Director Stock Option (Right to Buy) 39.13 2015-11-14 Common Stock 5000 5000 D Exercisable in annual increments of 1,800 shares each commencing 5/17/99. Exercisable in annual increments of 400 shares each commencing 9/18/00. Exercisable in annual increments of 200 shares each commencing 11/21/01. Exercisable in annual increments of 400 shares each commencing 3/17/03. Exercisable in annual increments of 1,000 shares each commencing 5/17/04. Exercisable in annual increments of 1,000 shares each commencing 11/14/05. Form one of two form filed for Table I transactions. /s/ David A. Koch 2006-07-26 -----END PRIVACY-ENHANCED MESSAGE-----