-----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, NTRWjBOJ5PwFsXvTRI+khq3gp9LeOgXKSxvuwT4NWb657lezTZVKdE4HY9U2n4Zf SJL72bvUNy5EGv5szLhUmw== 0000914190-98-000103.txt : 19980226 0000914190-98-000103.hdr.sgml : 19980226 ACCESSION NUMBER: 0000914190-98-000103 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980225 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: SURMODICS INC CENTRAL INDEX KEY: 0000924717 STANDARD INDUSTRIAL CLASSIFICATION: ADHESIVES & SEALANTS [2891] IRS NUMBER: 411356149 STATE OF INCORPORATION: MN FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-23837 FILM NUMBER: 98549078 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 8-A12G 1 FORM 8-A SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-A FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934 SurModics, Inc. (Exact name of registrant as specified in its charter) Minnesota 41-1356149 (State of incorporation or organization) (I.R.S. Employer Identification No.) 9924 West 74th Street Eden Prairie, Minnesota 55344 (Address of principal executive offices) (Zip Code) If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective pursuant to General Instruction A.(c), check the following box. [ ] If this form relates to the registration of a class of securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d), check the following box. [ X ] Securities to be registered pursuant to Section 12(b) of the Act: None Securities to be registered pursuant to Section 12(g) of the Act: Common Stock, $0.05 par value Page 1 of 3 Pages Item 1. Description of Registrant's Securities to be Registered. The information called for by this Item 1 is incorporated herein by reference to the section entitled "Description of Securities" in the Prospectus portion of the Registrant's Form SB-2 Registration Statement, Reg. No. 333-43217. Item 2. Exhibits. See Exhibit Index on page following Signatures. SIGNATURES Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized. SURMODICS, INC. By /s/ Dale R. Olseth Dale R. Olseth, Chairman, President and Chief Executive Officer Dated: February 25, 1998 Page 2 of 3 Pages SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 EXHIBIT INDEX TO FORM 8-A OF SURMODICS, INC. Exhibit Number Description Exhibit 1 - Registrant's Articles of Incorporation -- incorporated by reference to Exhibit 3.1 to the Registrant's Form SB-2 Registration Statement, Reg. No. 333-43217. Exhibit 2 - Registrant's Bylaws -- incorporated by reference to Exhibit 3.2 to the Registrant's Form SB-2 Registration Statement, Reg. No. 333-43217. Exhibit 3 - Specimen of Common Stock certificate -- incorporated by reference to Exhibit 4.3 to the Registrant's Form SB-2 Registration Statement, Reg. No. 333-43217. Page 3 of 3 Pages -----END PRIVACY-ENHANCED MESSAGE-----