0001209191-16-138487.txt : 20160824
0001209191-16-138487.hdr.sgml : 20160824
20160824163740
ACCESSION NUMBER: 0001209191-16-138487
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160822
FILED AS OF DATE: 20160824
DATE AS OF CHANGE: 20160824
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: 161849691
MAIL ADDRESS:
STREET 1: 9924 WEST 74TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-08-22
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
2016-08-22
4
M
0
27548
9.25
A
53712
D
Common Stock
2016-08-22
4
F
0
14991
29.45
D
38721
D
Stock Option (Right to Buy)
9.25
2016-08-22
4
M
0
27548
0.00
D
2017-11-30
Common Stock
27548
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
2016-08-24