0001209191-15-042333.txt : 20150513 0001209191-15-042333.hdr.sgml : 20150513 20150513164913 ACCESSION NUMBER: 0001209191-15-042333 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150511 FILED AS OF DATE: 20150513 DATE AS OF CHANGE: 20150513 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: DANTZKER DAVID CENTRAL INDEX KEY: 0001245926 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 15859019 MAIL ADDRESS: STREET 1: 80 CUTTERMILL ROAD STE 311 CITY: GREAT NECK STATE: NY ZIP: 11021 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-11 0 0000924717 SURMODICS INC SRDX 0001245926 DANTZKER DAVID C/O WHEATLEY PARTNERS, L.P. 80 CUTTERMILL ROAD GREAT NECK NY 11021 1 0 0 0 Common Stock 2015-05-11 4 S 0 11662 24.7524 D 9067 D Reflects the weighted average price of 11,662 shares of common stock of Surmodics,Inc. sold by the reporting person in multiple transactions on May 11, 2015 with sale prices ranging from $24.70 to $24.88 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. The amount beneficially owned includes 4,207 restricted stock units (RSUs) that vest on service-based vesting dates and 4,360 deferred stock units (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. In addition, the number of DSUs of the reporting person as last reported on a Form 4 filed on April 2, 2015 has been adjusted downward by one share to reflect the actual DSUs received by the reporting person in lieu of quarterly cash retainer payments to conform to the rounding convention of Surmodics, Inc. based on the closing stock price at the end of the quarter ended March 31, 2015. /s/ Bryan K. Phillips, on behalf of David R. Dantzker 2015-05-13