0001209191-12-058092.txt : 20121217
0001209191-12-058092.hdr.sgml : 20121217
20121217185606
ACCESSION NUMBER: 0001209191-12-058092
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121212
FILED AS OF DATE: 20121217
DATE AS OF CHANGE: 20121217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FISCHER GERALD B
CENTRAL INDEX KEY: 0001207429
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 121269681
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2012-12-12
2012-12-14
0
0000924717
SURMODICS INC
SRDX
0001207429
FISCHER GERALD B
3004 TONKAHA DRIVE
WAYZATA
MN
55391
1
0
0
0
Common Stock
2012-12-12
4
A
0
1472
0.00
A
12422
D
This amendment corrects a previous report of Form 4 filed on December 14, 2012 with an incorrect number of securities beneficially owned. The correct number is 12,422, not 21,372 as previously reported after the December 12, 2012 transaction date. Of these shares, 1,472 shares are restricted stock units granted on December 12, 2012.
/s/ Bryan K. Phillips, on behalf of Gerald B. Fischer
2012-12-17