0001209191-15-026794.txt : 20150317 0001209191-15-026794.hdr.sgml : 20150317 20150317094934 ACCESSION NUMBER: 0001209191-15-026794 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150211 FILED AS OF DATE: 20150317 DATE AS OF CHANGE: 20150317 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: 15705060 MAIL ADDRESS: STREET 1: 10475 110TH STREET NORTH CITY: STILLWATER STATE: MN ZIP: 55082 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-02-11 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 Common Stock 2015-02-11 4 F 0 679 23.65 D 3877 D The reporting person makes a payment of tax liability by withholding securities incident to the vesting of his restricted stock award issued in accordance with Rule 16b-3. /s/ Bryan K. Phillips, on behalf of Andrew D.C. LaFrence 2015-03-17