0001209191-13-008539.txt : 20130213 0001209191-13-008539.hdr.sgml : 20130213 20130213174856 ACCESSION NUMBER: 0001209191-13-008539 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130211 FILED AS OF DATE: 20130213 DATE AS OF CHANGE: 20130213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LaFrence Andrew D. C. CENTRAL INDEX KEY: 0001569676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 13604867 MAIL ADDRESS: STREET 1: 10475 110TH STREET NORTH CITY: STILLWATER STATE: MN ZIP: 55082 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 2013-02-11 0 0000924717 SURMODICS INC SRDX 0001569676 LaFrence Andrew D. C. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP of Finance & CFO Common Stock 2013-02-11 4 A 0 5234 0.00 A 5234 D Stock Option (Right to Buy) 23.88 2013-02-11 4 A 0 23797 0.00 A 2020-02-11 Common Stock 23797 23797 D Represents a stock option award granted pursuant to the issuer's executive compensation program. The award vests in four equal installments beginning on the first anniversary of the February 11, 2013 grant date. /s/Bryan K. Phillips, on behalf of Andrew D. C. LaFrence 2013-02-13