0001209191-13-027096.txt : 20130517 0001209191-13-027096.hdr.sgml : 20130517 20130517114554 ACCESSION NUMBER: 0001209191-13-027096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130515 FILED AS OF DATE: 20130517 DATE AS OF CHANGE: 20130517 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: 13853850 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 2013-05-15 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 2013-05-15 4 M 0 500 12.68 A 6171 D Common Stock 2013-05-15 4 M 0 1193 12.40 A 7364 D Common Stock 2013-05-15 4 S 0 1693 26.55 D 5671 D Stock Option (Right to Buy) 12.68 2013-05-15 4 M 0 500 0.00 D 2018-02-07 Common Stock 1000 500 D Stock Option (Right to Buy) 12.40 2013-05-15 4 M 0 1193 0.00 D 2018-11-30 Common Stock 4770 3577 D Includes a total of 78 shares acquired through the Employee Stock Purchase Plan for the phase ended 02/28/2013. Exercisable in annual increments of 25%, commencing 02/07/2012. The award vests in four equal installments on each of the first four anniversaries of the November 30, 2011 grant date. /s/ Alyn Bedford, on behalf of Mark A. Lehman 2013-05-17