0001209191-14-073352.txt : 20141205 0001209191-14-073352.hdr.sgml : 20141205 20141205152746 ACCESSION NUMBER: 0001209191-14-073352 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141203 FILED AS OF DATE: 20141205 DATE AS OF CHANGE: 20141205 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: BENSON JOHN W CENTRAL INDEX KEY: 0001196470 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 141269322 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-12-03 0 0000924717 SURMODICS INC SRDX 0001196470 BENSON JOHN W 3320 PETE MILLER LANE N. STILLWATER MN 55082 1 0 0 0 Common Stock 2014-12-03 4 A 0 1407 0.00 A 12182 D Employee Stock Option (right to buy) 21.31 2014-12-03 4 A 0 5576 0.00 A 2021-12-03 Common Stock 5576 5576 D The amount beneficially owned includes 4207 restricted stock units (RSUs) that vest on service-based vesting dates and 3,707 DSUs that are vested upon issuance, each of which will be settled in shares of the issuer's common stock on a 1 for 1 basis when the reporting persons' service as a director ends. The award will vest in full on 12/3/2015. /s/ Bryan K. Phillips, on behalf of John W. Benson 2014-12-05