0001209191-14-073132.txt : 20141204
0001209191-14-073132.hdr.sgml : 20141204
20141204171536
ACCESSION NUMBER: 0001209191-14-073132
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141202
FILED AS OF DATE: 20141204
DATE AS OF CHANGE: 20141204
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: 141267150
MAIL ADDRESS:
STREET 1: 9924 WEST 74TH STREET
CITY: EDEN PRAIRIE
STATE: X1
ZIP: 55344
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-12-02
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
2014-12-02
4
A
0
14239
0.00
A
20631
D
Common Stock
2014-12-02
4
F
0
4785
21.03
D
15846
D
Employee Stock Option (right to buy)
21.03
2014-12-02
4
A
0
14276
0.00
A
2021-12-02
Common Stock
14276
14276
D
Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2014.
Shares withheld to satisfy taxes incident to vesting and settlement of performance share award.
The award vests in four equal installments on each of the first four anniversaries of the December 2, 2014 grant date.
/s/ Bryan K. Phillips, on behalf of Timothy J. Arens
2014-12-04