-----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, WkAA+TB3IQvopihGuUpiWUk7e48rixZIT4sQen6vqYNlpOxjhzEcNwBrHHFlGMj2 PBnHPQPPE02FA0f7NMqaRA== 0000914190-06-000642.txt : 20061114 0000914190-06-000642.hdr.sgml : 20061114 20061114170550 ACCESSION NUMBER: 0000914190-06-000642 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061113 FILED AS OF DATE: 20061114 DATE AS OF CHANGE: 20061114 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: OLSETH DALE R CENTRAL INDEX KEY: 0001077511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 061216513 BUSINESS ADDRESS: BUSINESS PHONE: 6128292700 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2006-11-13 0000924717 SURMODICS INC SRDX 0001077511 OLSETH DALE R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 0 0 0 Common Stock 2006-11-13 4 A 0 15000 0 A 1398280 D Common Stock 5000 I By Spouse Director Stock Option (Right to Buy) 31.85 2006-11-13 4 A 0 5000 0 A 2016-11-13 Common Stock 5000 5000 D Exercisable in annual increments of 1,000 shares each commencing on 11/13/06. Shares granted pursuant to a restricted stock award; 5,000 shares vest on each of 11/13/07, 11/13/08 and 11/13/09. /s/ Dale R. Olseth by Philip D. Ankeny pursuant to power of attorney previously filed 2006-11-14 -----END PRIVACY-ENHANCED MESSAGE-----