0001209191-16-135291.txt : 20160803
0001209191-16-135291.hdr.sgml : 20160803
20160803174610
ACCESSION NUMBER: 0001209191-16-135291
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: KNIGHT SUSAN E
CENTRAL INDEX KEY: 0001183157
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 161805014
MAIL ADDRESS:
STREET 1: 9154 BRECKENRIDGE LANE
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55437
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-08-01
0
0000924717
SURMODICS INC
SRDX
0001183157
KNIGHT SUSAN E
9154 BRECKENRIDGE LANE
EDEN PRAIRIE
MN
55437
1
0
0
0
Common Stock
2016-08-01
4
M
0
10000
22.35
A
24140
D
Common Stock
2016-08-01
4
F
0
8260
27.06
D
15880
D
Director Stock Option (Right to Buy)
22.35
2016-08-01
4
M
0
10000
0.00
D
2016-11-30
Common Stock
10000
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.
The amount beneficially owned includes 5,693 restricted stock units (RSUs) that vest on service-based vesting dates that 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.
This option is fully vested.
/s/ Bryan K. Phillips, on behalf of Susan E. Knight
2016-08-03