0001209191-14-016653.txt : 20140304
0001209191-14-016653.hdr.sgml : 20140304
20140304165620
ACCESSION NUMBER: 0001209191-14-016653
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140301
FILED AS OF DATE: 20140304
DATE AS OF CHANGE: 20140304
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: BENSON JOHN W
CENTRAL INDEX KEY: 0001196470
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 14665647
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-03-01
0
0000924717
SURMODICS INC
SRDX
0001196470
BENSON JOHN W
3320 PETE MILLER LANE N.
STILLWATER
MN
55082
1
0
0
0
Common Stock
2014-03-01
4
M
0
5400
21.82
A
13312
D
Common Stock
2014-03-01
4
F
0
4732
24.90
D
8580
D
Stock Option (right to buy)
21.82
2014-03-01
4
M
0
5400
0.00
D
2014-05-17
Common Stock
5400
0
D
The amount beneficially owned includes vested and unvested RSUs that will be settled in shares of the issuer's common stock upon the reporting person's termination of service as a director of the issuer.
The reporting person makes a payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3.
Fully vested.
/s/ Bryan K. Phillips, on behalf of John W. Benson
2014-03-04