0001209191-14-073136.txt : 20141204
0001209191-14-073136.hdr.sgml : 20141204
20141204171805
ACCESSION NUMBER: 0001209191-14-073136
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: LaFrence Andrew D. C.
CENTRAL INDEX KEY: 0001569676
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 141267174
MAIL ADDRESS:
STREET 1: 10475 110TH STREET NORTH
CITY: STILLWATER
STATE: MN
ZIP: 55082
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-12-02
0
0000924717
SURMODICS INC
SRDX
0001569676
LaFrence Andrew D. C.
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
VP of Finance & CFO
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
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 Andrew D.C. LaFrence
2014-12-04