-----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, Ls7X07uy8RJand1YnoCjryMYP+CdEMC5qJd1PqBTH6zx4cdj6C/jwzHXebP4YsD5 RdSYo0UL4vajQPfSJQw4+g== 0001209191-10-058049.txt : 20101202 0001209191-10-058049.hdr.sgml : 20101202 20101202180940 ACCESSION NUMBER: 0001209191-10-058049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101130 FILED AS OF DATE: 20101202 DATE AS OF CHANGE: 20101202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WARD SCOTT R CENTRAL INDEX KEY: 0001174531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 101229346 MAIL ADDRESS: STREET 1: MEDTRONIC INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 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 2010-11-30 0 0000924717 SURMODICS INC SRDX 0001174531 WARD SCOTT R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 0 0 0 Common Stock (Option to Buy) 9.25 2010-11-30 4 A 0 2754 0.00 A 2017-11-30 Common Stock 2754 2754 D Represents a stock option award granted pursuant to the issuer's Board Compensation Policy, amended and restated as of February 8, 2010. The award vests in four equal installments on each of the first four anniversaries of the November 30, 2010 grant date. /s/Alyn Bedford, on behalf of Scott R. Ward 2010-12-02 -----END PRIVACY-ENHANCED MESSAGE-----