0001209191-16-135288.txt : 20160803 0001209191-16-135288.hdr.sgml : 20160803 20160803174357 ACCESSION NUMBER: 0001209191-16-135288 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: Phillips Bryan K CENTRAL INDEX KEY: 0001412895 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 161805003 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-08-01 0 0000924717 SURMODICS INC SRDX 0001412895 Phillips Bryan K 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 SVP, Gen Counsel & Secretary Common Stock 2016-08-01 4 M 0 16251 24.30 A 41601 D Common Stock 2016-08-01 4 F 0 15144 27.06 D 26457 D Stock Option (Right to Buy) 24.30 2016-08-01 4 M 0 16251 0.00 D 2016-09-21 Common Stock 16251 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. Bryan K. Phillips 2016-08-03