-----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, EZxpF39KHWMjZqZoMrRLBGqLc/Kaagsz5nzFuvnhfAKhax4W8LDdY2J/p1TTwvoM KEIAnp/J0PVPwxn3/S7LLg== 0000914190-07-000066.txt : 20070213 0000914190-07-000066.hdr.sgml : 20070213 20070212154958 ACCESSION NUMBER: 0000914190-07-000066 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060930 FILED AS OF DATE: 20070212 DATE AS OF CHANGE: 20070212 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: KELLER KENNETH H CENTRAL INDEX KEY: 0001182833 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 07602920 BUSINESS ADDRESS: STREET 1: C/O SURMODIES INC STREET 2: 9924 WEST 74TH ST CITY: EDEN PRIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: 9528292700 MAIL ADDRESS: STREET 1: C/O SURMODIES INC STREET 2: 9924 WEST 74TH ST CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 5 1 edgar.xml PRIMARY DOCUMENT X0202 5 2006-09-30 0 0 0000924717 SURMODICS INC SRDX 0001182833 KELLER KENNETH H 6182 CRACKLEBERRY TRAIL WOODBURY MN 55129 1 0 0 0 Common Stock 2002-07-19 5 G 0 500 0 D 10300 D Common Stock 2002-07-19 5 G 0 500 0 D 9800 D Common Stock 2004-12-12 5 G 0 850 0 D 8950 D Common Stock 2005-10-27 5 G 0 150 0 D 8800 D Common Stock 2002-07-19 5 G 0 500 0 A 2100 I By daughter Common Stock 2002-07-19 5 G 0 500 0 A 2100 I By son The initial gift of 1,600 shares from the Reporting Person occurred in Nov. 2002 and was reported as a disposition for the Reporting Person, but was not reported as an indirect holding for the Reporting Person. The initial gift of 1,600 shares from the Reporting Person occurred in Nov. 2002 and was reported as a disposition for the Reporting Person, but was not reported as an indirect holding for the Reporting Person. /s/ Kenneth H. Keller by Philip D. Ankeny pursuant to power of attorney previously filed 2007-02-09 -----END PRIVACY-ENHANCED MESSAGE-----