0001209191-15-037451.txt : 20150430 0001209191-15-037451.hdr.sgml : 20150430 20150430162739 ACCESSION NUMBER: 0001209191-15-037451 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150428 FILED AS OF DATE: 20150430 DATE AS OF CHANGE: 20150430 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: Seibert Amy E. CENTRAL INDEX KEY: 0001640953 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 15819118 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-04-28 0 0000924717 SURMODICS INC SRDX 0001640953 Seibert Amy E. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Principal Accounting Officer Common Stock 2015-04-28 4 A 0 1890 0.00 A 1890 D Employee Stock Option (right to buy) 26.45 2015-04-28 4 A 0 1694 0.00 A 2022-04-28 Common Stock 1694 1694 D Restricted Stock award will vest in three equal installments on April 28, 2016, April 28, 2017 and April 28, 2018. The award vests in four equal installments on each of the first four anniversaries of the April 28, 2015 grant date. /s/Bryan K. Phillips, attorney-in-fact 2015-04-30