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