0001209191-16-135285.txt : 20160803 0001209191-16-135285.hdr.sgml : 20160803 20160803174235 ACCESSION NUMBER: 0001209191-16-135285 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: OLSON CHARLES W CENTRAL INDEX KEY: 0001286125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 161804997 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-08-01 0 0000924717 SURMODICS INC SRDX 0001286125 OLSON CHARLES W 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Senior VP & GM, Med Dev Common Stock 2016-08-01 4 M 0 12500 24.30 A 35531 D Common Stock 2016-08-01 4 S 0 7500 27.0881 D 28031 D Common Stock 2016-08-01 4 S 0 5000 27.0732 D 23031 D Common Stock 800 I By IRA Stock Option (right to buy) 24.30 2016-08-01 4 M 0 12500 0.00 D 2016-09-21 Common Stock 12500 5783 D Exercise of reporting person's stock options of which shares were sold to pay the exercise price, to cover withholding taxes, and to pay broker fees and commissions, pursuant to a broker-assisted cashless exercise and sale. Reflects the weighted average price of 7,500 shares of common stock of Surmodics,Inc. sold by the reporting person in multiple transactions on August 1, 2016 with sale prices ranging from $26.99 to $27.40 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. Reflects the weighted average price of 5,000 shares of common stock of Surmodics,Inc. sold by the reporting person in multiple transactions on August 1, 2016 with sale prices ranging from $27.05 to $27.12 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. This option is fully vested. /s/ Bryan K. Phillips, on behalf of Charles W. Olson 2016-08-03