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