0001209191-16-135692.txt : 20160805 0001209191-16-135692.hdr.sgml : 20160805 20160805160447 ACCESSION NUMBER: 0001209191-16-135692 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160803 FILED AS OF DATE: 20160805 DATE AS OF CHANGE: 20160805 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: Stich Joseph J. CENTRAL INDEX KEY: 0001487121 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 161811170 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-08-03 0 0000924717 SURMODICS INC SRDX 0001487121 Stich Joseph J. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP, Bus Ops & GM, IVD Common Stock 2016-08-03 4 M 0 20000 22.11 A 43492 D Common Stock 2016-08-03 4 F 0 17328 27.64 D 26164 D Employee Stock Option (Right to Buy) 22.11 2016-08-03 4 M 0 20000 0.00 D 2017-03-12 Common Stock 20000 0 D Includes 387 shares acquired through the Employee Stock Purchase Plan for phase ending 2/29/2016. 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 Joseph J. Stich 2016-08-05