0001209191-13-053422.txt : 20131120 0001209191-13-053422.hdr.sgml : 20131120 20131120192438 ACCESSION NUMBER: 0001209191-13-053422 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131118 FILED AS OF DATE: 20131120 DATE AS OF CHANGE: 20131120 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 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: 131234054 MAIL ADDRESS: STREET 1: 10475 110TH STREET NORTH CITY: STILLWATER STATE: MN ZIP: 55082 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-11-18 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 Employee Stock Option (right to buy) 22.58 2013-11-18 4 A 0 12612 0.00 A 2020-11-18 Common Stock 12612 12612 D The award vests in four equal installments on each of the first four anniversaries of the November 18, 2013 grant date. /s/ Bryan K. Phillips, on behalf of Andrew D.C. LaFrence 2013-11-20