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