0001209191-13-053424.txt : 20131120
0001209191-13-053424.hdr.sgml : 20131120
20131120192925
ACCESSION NUMBER: 0001209191-13-053424
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: Stich Joseph J.
CENTRAL INDEX KEY: 0001487121
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 131234060
MAIL ADDRESS:
STREET 1: 9924 WEST 74TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-11-18
0
0000924717
SURMODICS INC
SRDX
0001487121
Stich Joseph J.
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
VP, Bus Ops & GM, IVD
Common Stock
2013-11-18
4
A
0
19252
0.00
A
24098
D
Common Stock
2013-11-18
4
F
0
6468
22.58
D
17630
D
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
Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2013.
Includes a total of 2,306 shares acquired through the Employee Stock Purchase Plan. The reporting person acquired 342 shares for the phase ended 8/31/2013.
Shares withheld to satisfy taxes incident to vesting of performance share award.
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 Joseph J. Stich
2013-11-20