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