0001209191-14-070387.txt : 20141120 0001209191-14-070387.hdr.sgml : 20141120 20141120172050 ACCESSION NUMBER: 0001209191-14-070387 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141118 FILED AS OF DATE: 20141120 DATE AS OF CHANGE: 20141120 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: 9525007000 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: Lehman Mark A. CENTRAL INDEX KEY: 0001435723 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 141240033 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-11-18 0 0000924717 SURMODICS INC SRDX 0001435723 Lehman Mark A. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Corporate Controller Common Stock 2014-11-18 4 F 0 120 21.17 D 6957 D The reporting person makes a payment of tax liability by withholding securities incident to the vesting of his restricted stock award issued in accordance with Rule 16b-3. The amount beneficially owned includes a total of 1,756 shares acquired through the Employee Stock Purchase Plan. The reporting person acquired 151 shares for the phase ending 8/31/14. /s/ Bryan K. Phillips, on behalf of Mark A. Lehman 2014-11-20