-----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, ET5BKnpGpgGaefUSgCQk9ftDSey3O9IhM1YKK8oZadLFQ2FSG3HV2ksMqhMUqPhE 6WExOgxv84Kt5lhPXXrpYA== 0001209191-09-053287.txt : 20091117 0001209191-09-053287.hdr.sgml : 20091117 20091117180242 ACCESSION NUMBER: 0001209191-09-053287 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091115 FILED AS OF DATE: 20091117 DATE AS OF CHANGE: 20091117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANKENY PHILIP D CENTRAL INDEX KEY: 0001235411 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 091191610 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-11-15 0 0000924717 SURMODICS INC SRDX 0001235411 ANKENY PHILIP D 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Senior VP & CFO Common Stock 2009-11-15 4 F 0 3270 23.38 D 28958 D The reporting person makes a payment of tax liability by withholding securities incident to the vesting of his restricted stock award issued in accordance with Rule 16b-3. /s/ Gordon S. Weber, on behalf of Philip D. Ankeny 2009-11-17 -----END PRIVACY-ENHANCED MESSAGE-----