0001209191-15-086450.txt : 20151221
0001209191-15-086450.hdr.sgml : 20151221
20151221182400
ACCESSION NUMBER: 0001209191-15-086450
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151217
FILED AS OF DATE: 20151221
DATE AS OF CHANGE: 20151221
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: Stich Joseph J.
CENTRAL INDEX KEY: 0001487121
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 151300407
MAIL ADDRESS:
STREET 1: 9924 WEST 74TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-12-17
0
0000924717
SURMODICS INC
SRDX
0001487121
Stich Joseph J.
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
VP, Bus Ops & GM, IVD
Common Stock
2015-12-17
4
A
0
5484
0.00
A
26948
D
Common Stock
2015-12-17
4
F
0
1843
20.25
D
25105
D
Employee Stock Option (right to buy)
20.25
2015-12-17
4
A
0
19927
0.00
A
2022-12-17
Common Stock
19927
19927
D
Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2014.
Shares withheld to satisfy taxes incident to vesting of performance share award.
The award vests in four equal installments on each of the first four anniversaries of the December 17, 2015 grant date.
/s/ Bryan K. Phillips, on behalf of Joseph J. Stich
2015-12-21