0001209191-13-053441.txt : 20131120
0001209191-13-053441.hdr.sgml : 20131120
20131120202806
ACCESSION NUMBER: 0001209191-13-053441
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: DANTZKER DAVID
CENTRAL INDEX KEY: 0001245926
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 131234113
MAIL ADDRESS:
STREET 1: 80 CUTTERMILL ROAD STE 311
CITY: GREAT NECK
STATE: NY
ZIP: 11021
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-11-18
0
0000924717
SURMODICS INC
SRDX
0001245926
DANTZKER DAVID
C/O WHEATLEY PARTNERS, L.P.
80 CUTTERMILL ROAD
GREAT NECK
NY
11021
1
0
0
0
Common Stock
2013-11-18
4
A
0
1328
0.00
A
4730
D
Stock Option (right to buy)
22.58
2013-11-18
4
A
0
3575
0.00
A
2020-11-18
Common Stock
3575
3575
D
The amount beneficially owned includes (a) unvested RSUs that will be settled in shares of the issuer's common stock at future service-based vesting dates, and (b) vested RSUs acquired during fiscal 2013 in lieu of as compensation.
The award vests in three equal installments on each of the first three anniversaries of the November 18, 2013 grant date.
/s/ Bryan K. Phillips, on behalf of David R. Dantzker
2013-11-20