0001209191-13-053445.txt : 20131120
0001209191-13-053445.hdr.sgml : 20131120
20131120203317
ACCESSION NUMBER: 0001209191-13-053445
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: WARD SCOTT R
CENTRAL INDEX KEY: 0001174531
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 131234118
MAIL ADDRESS:
STREET 1: MEDTRONIC INC
STREET 2: 710 MEDTRONIC PKWY, MS LC310
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55432-5604
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-11-18
0
0000924717
SURMODICS INC
SRDX
0001174531
WARD SCOTT R
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2013-11-18
4
A
0
1328
0.00
A
2800
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 unvested RSUs that will be settled in shares of the issuer's common stock at future service-based vesting dates.
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 Scott R. Ward
2013-11-20