0001209191-14-032696.txt : 20140509
0001209191-14-032696.hdr.sgml : 20140509
20140509174631
ACCESSION NUMBER: 0001209191-14-032696
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131231
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: BEDOYA JOSE H
CENTRAL INDEX KEY: 0001207430
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 14830563
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-12-31
0
0000924717
SURMODICS INC
SRDX
0001207430
BEDOYA JOSE H
604 10TH STREET
BOULDER
CO
80302
1
0
0
0
Common Stock
2013-12-31
4
A
0
486
24.39
A
4813
D
Common Stock
2014-03-31
4
A
0
525
22.60
A
5338
D
Common Stock
2014-04-29
4
M
0
8000
21.82
A
13338
D
Common Stock
2014-04-29
4
F
0
7930
22.01
D
5408
D
Stock Option (right to buy)
21.82
2014-04-29
4
M
0
8000
0.00
D
2014-05-17
Common Stock
8000
0
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.
The reporting person paid the exercise price of a stock option issued in accordance with Rule 16b-3 by having shares of stock acquired upon the exercise withheld by the issuer.
The amount beneficially owned includes 2,800 restricted stock units (RSUs) that vest on service-based vesting dates and 2,538 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.
Fully vested.
/s/ Bryan K. Phillips, on behalf of Jose H. Bedoya
2014-05-09