0001209191-14-032682.txt : 20140509
0001209191-14-032682.hdr.sgml : 20140509
20140509173756
ACCESSION NUMBER: 0001209191-14-032682
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130331
FILED AS OF DATE: 20140509
DATE AS OF CHANGE: 20140509
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: BRAINERD MARY K
CENTRAL INDEX KEY: 0001195918
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 14830499
MAIL ADDRESS:
STREET 1: 8170 33RD AVENUE SOUTH
CITY: BLOOMINGTON
STATE: MN
ZIP: 55425
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2013-03-31
2013-11-20
1
0000924717
SURMODICS INC
SRDX
0001195918
BRAINERD MARY K
8170 33RD AVENUE SOUTH
BLOOMINGTON
MN
55425
0
0
0
1
Former Director
Common Stock
2013-03-31
4
A
0
417
27.25
A
1889
D
Common Stock
2013-06-30
4
A
0
568
20.01
A
2457
D
Common Stock
2013-09-30
4
A
0
478
23.78
A
2935
D
Common Stock
2013-11-18
4
A
0
1328
0.00
A
4263
D
The reporting person elected to receive vested deferred stock units (DSUs) in lieu of quarterly cash retainer payments. The DSUs are settled in shares of the issuer's common stock as described below. While included in the Amount of Securities Beneficially Owned in the original Form 4, the receipt of these DSUs had been inadvertently omitted from the original Form 4.
The amount beneficially owned includes 2,800 restricted stock units (RSUs) that vest on service-based vesting dates and 1,463 DSUs that are vested upon issuance, each of which will be settled in shares of the issuer's common stock on a 1 for 1 basis when the reporting person's service as a director ends.
/s/ Bryan K. Phillips, on behalf of Mary K. Brainerd
2014-05-09