0001209191-12-057811.txt : 20121214
0001209191-12-057811.hdr.sgml : 20121214
20121214170258
ACCESSION NUMBER: 0001209191-12-057811
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121212
FILED AS OF DATE: 20121214
DATE AS OF CHANGE: 20121214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Phillips Bryan K
CENTRAL INDEX KEY: 0001412895
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 121266367
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: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
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
X0306
4
2012-12-12
0
0000924717
SURMODICS INC
SRDX
0001412895
Phillips Bryan K
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
SVP, Gen Counsel & Secretary
Stock Option (Right to Buy)
20.37
2012-12-12
4
A
0
13266
0.00
A
2019-12-12
Common Stock
13266
13266
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 December 12, 2012 grant date.
/s/ Bryan K. Phillips
2012-12-14