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