-----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, DRFiSfUwoG+lt0K4rbS1FW/tBasPp2fDybMxbZiRCixXKVBIHjlefvjE8EnEFllt ZOeHBgJEyLsZmPyicENVfg== 0000921895-10-001781.txt : 20101203 0000921895-10-001781.hdr.sgml : 20101203 20101203182907 ACCESSION NUMBER: 0000921895-10-001781 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101117 FILED AS OF DATE: 20101203 DATE AS OF CHANGE: 20101203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meckler Jeffrey A CENTRAL INDEX KEY: 0001506916 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 101232666 MAIL ADDRESS: STREET 1: 740 BROADWAY STREET 2: 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SURMODICS INC CENTRAL INDEX KEY: 0000924717 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] 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 3 1 form3206297086_12022010.xml X0203 3 2010-11-17 0 0000924717 SURMODICS INC SRDX 0001506916 Meckler Jeffrey A C/O THE ANDRA GROUP, LLC 740 BROADWAY, 9TH FLOOR NEW YORK NY 10003 0 0 0 1 See Explanation of Responses Common Stock, $0.05 Par Value 0 D The Reporting Person is a member of a Section 13(d) group with respect to the securities of the Issuer that beneficially owns in excess of 10% of the Issuer's outstanding shares of Common Stock. The Reporting Person disclaims beneficial ownership of the securities beneficially owned by the other members of the group except to the extent of his pecuniary interest therein. /s/ Owen S. Littman as attorney-in-fact for Jeffrey A. Meckler 2010-12-03 -----END PRIVACY-ENHANCED MESSAGE-----