0001209191-14-070672.txt : 20141121
0001209191-14-070672.hdr.sgml : 20141121
20141121173033
ACCESSION NUMBER: 0001209191-14-070672
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141119
FILED AS OF DATE: 20141121
DATE AS OF CHANGE: 20141121
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: Arens Timothy J.
CENTRAL INDEX KEY: 0001506586
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 141243950
MAIL ADDRESS:
STREET 1: 9924 WEST 74TH STREET
CITY: EDEN PRAIRIE
STATE: X1
ZIP: 55344
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-11-19
0
0000924717
SURMODICS INC
SRDX
0001506586
Arens Timothy J.
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
VP-Corporate Dev. and Strategy
Common Stock
2014-11-19
4
M
0
10330
9.25
A
16722
D
Common Stock
2014-11-19
4
S
0
10330
21.023
D
6392
D
Employee Stock Option (right to buy)
9.25
2014-11-19
4
M
0
10330
0.00
D
2017-11-30
Common Stock
10330
3444
D
Reflects the weighted average price of 10,330 shares of common stock of Surmodics, Inc. sold by the reporting person in multiple transactions on November 19, 2014 with sale prices ranging from $20.90 to $21.15 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
The award vests in four equal installments on each of the first four anniversaries of the November 30, 2010 grant date.
/s/ Bryan K. Phillips on behalf of Timothy J. Arens
2014-11-21