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