0001209191-14-073143.txt : 20141204 0001209191-14-073143.hdr.sgml : 20141204 20141204172027 ACCESSION NUMBER: 0001209191-14-073143 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: Maharaj Gary R CENTRAL INDEX KEY: 0001508798 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 141267189 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-12-02 0 0000924717 SURMODICS INC SRDX 0001508798 Maharaj Gary R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 1 0 0 President & CEO Common Stock 2014-12-02 4 A 0 41137 0.00 A 95734 D Common Stock 2014-12-02 4 F 0 13823 21.03 D 81911 D Employee Stock Option (right to buy) 21.03 2014-12-02 4 A 0 41243 0.00 A 2021-12-02 Common Stock 41243 41243 D Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2014. Includes a total of 773 shares acquired through the Employee Stock Purchase Plan. The reporting person acquired 773 shares for the phase ending 8/31/14. 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 Gary R. Maharaj 2014-12-04