-----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, O2ZZ5NYJDO/h/drkLGqnxNAXt6zTWjY3S1BreRhOYI0RaMYdSzyv8dQGUG359yUp QQ/IvW70xftMUwwYiUGADA== 0001209191-10-058087.txt : 20101202 0001209191-10-058087.hdr.sgml : 20101202 20101202183825 ACCESSION NUMBER: 0001209191-10-058087 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: Webster Jan M CENTRAL INDEX KEY: 0001349292 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 101229454 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-11-30 0 0000924717 SURMODICS INC SRDX 0001349292 Webster Jan M 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP of HR Stock Option (Right to Buy) 9.25 2010-11-30 4 A 0 27548 0.00 A 2017-11-30 Common Stock 27548 27548 D Represents an annual stock option award granted pursuant to the issuer's executive compensation program. 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 Jan M. Webster 2010-12-02 -----END PRIVACY-ENHANCED MESSAGE-----