-----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, VZl+ehxjraPTKoO6n6U1LZkWg7MpF1pzmalV9m8AOcZDGEmi21q3MgT+O0HpFXuJ 89djV3yGw09npbTDCI8MpA== 0001209191-08-060784.txt : 20081114 0001209191-08-060784.hdr.sgml : 20081114 20081114171507 ACCESSION NUMBER: 0001209191-08-060784 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080930 FILED AS OF DATE: 20081114 DATE AS OF CHANGE: 20081114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Robey Brian L CENTRAL INDEX KEY: 0001361325 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 081192941 BUSINESS ADDRESS: BUSINESS PHONE: 952-829-2700 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2008-09-30 0 0 0 0000924717 SURMODICS INC SRDX 0001361325 Robey Brian L 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP & Gen Mgr Drug Delivery Common Stock 3666 D Common Stock 6696 I By Trust The reporting person contributed 2,692 and 1,087 of his directly owned shares to The Karen E. Robey Revocable Trust on November 19, 2007 and on July 15, 2008 respectively. /s/ Gordon S. Weber, on behalf of Brian L. Robey 2008-11-14 -----END PRIVACY-ENHANCED MESSAGE-----