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