0001209191-16-135281.txt : 20160803 0001209191-16-135281.hdr.sgml : 20160803 20160803174040 ACCESSION NUMBER: 0001209191-16-135281 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160801 FILED AS OF DATE: 20160803 DATE AS OF CHANGE: 20160803 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: Arens Timothy J. CENTRAL INDEX KEY: 0001506586 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 161804989 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: X1 ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-08-01 0 0000924717 SURMODICS INC SRDX 0001506586 Arens Timothy J. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP-Corporate Dev. and Strategy Common Stock 2016-08-01 4 M 0 4000 24.30 A 13196 D Common Stock 2016-08-01 4 F 0 3726 27.06 D 9470 D Common Stock 2016-08-01 4 M 0 3444 9.25 A 12914 D Common Stock 2016-08-01 4 F 0 1925 27.06 D 10989 D Common Stock 2016-08-01 4 M 0 21469 12.40 A 32458 D Common Stock 2016-08-01 4 F 0 13746 27.06 D 18712 D Stock Option (right to buy) 24.30 2016-08-01 4 M 0 4000 0.00 D 2016-09-21 Common Stock 4000 0 D Stock Option (right to buy) 9.25 2016-08-01 4 M 0 3444 0.00 D 2017-11-30 Common Stock 3444 0 D Stock Option (right to buy) 12.40 2016-08-01 4 M 0 21469 0.00 D 2018-11-30 Common Stock 21469 0 D The reporting person makes a payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. This option is fully vested. /s/ Bryan K. Phillips on behalf of Timothy J. Arens 2016-08-03