-----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, CKBPbYmQz3BaO7I+wySibnSx52RYHcgoZaMG9mhRAQDx+D2IrZiO9AA35kYNqm2p dcPOjoTkx5LWlo1u3kYnCQ== 0001209191-09-055072.txt : 20091202 0001209191-09-055072.hdr.sgml : 20091202 20091202164037 ACCESSION NUMBER: 0001209191-09-055072 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091130 FILED AS OF DATE: 20091202 DATE AS OF CHANGE: 20091202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lopez Paul A CENTRAL INDEX KEY: 0001328763 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 091217981 MAIL ADDRESS: STREET 1: SURMODICS, INC. STREET 2: 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-11-30 0 0000924717 SURMODICS INC SRDX 0001328763 Lopez Paul A 1125 1/2 W. BALBOA BLVD. NEWPORT BEACH CA 92661 0 1 0 0 VP, President - Ophthamology Common Stock 2009-11-30 4 A 0 7200 0.00 A 16645 D Common Stock 2009-11-30 4 F 0 2640 22.35 D 14005 D Common Stock 2009-11-30 4 S 0 5000 22.23 D 9005 D Payment of tax liability incident to the vesting of a performance stock award in accordance with Rule 16b-3. Reflects the weighted average price of 5,000 shares of common stock of the Issuer sold by the reporting person in multiple transactions on November 30, 2009 with the sales price ranging from $22.18 to $22.28 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. /s/ Gordon S. Weber, on behalf of Paul A. Lopez 2009-12-02 -----END PRIVACY-ENHANCED MESSAGE-----