0001209191-12-057871.txt : 20121214
0001209191-12-057871.hdr.sgml : 20121214
20121214175549
ACCESSION NUMBER: 0001209191-12-057871
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: Lehman Mark A.
CENTRAL INDEX KEY: 0001435723
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 121266773
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
0001435723
Lehman Mark A.
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
Corporate Controller
Common Stock
5593
D
Stock Option (Right to Buy)
20.37
2012-12-12
4
A
0
2948
0.00
A
2019-12-12
Common Stock
2948
2948
D
Includes a total of 406 shares acquired through the Employee Stock Purchase Plan for the phases ended 2/29/12, 5/31/12, 8/31/12, and 11/30/12.
The award vests in four equal installments on each of the first four anniversaries of the December 12, 2012 grant date.
/s/ Bryan K. Phllips, on behalf of Mark A. Lehman
2012-12-14