0001209191-16-138791.txt : 20160826
0001209191-16-138791.hdr.sgml : 20160826
20160826161244
ACCESSION NUMBER: 0001209191-16-138791
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160825
FILED AS OF DATE: 20160826
DATE AS OF CHANGE: 20160826
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: BEDOYA JOSE H
CENTRAL INDEX KEY: 0001207430
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 161854964
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-08-25
0
0000924717
SURMODICS INC
SRDX
0001207430
BEDOYA JOSE H
604 10TH STREET
BOULDER
CO
80302
1
0
0
0
Common Stock
2016-08-25
4
M
0
10000
22.35
A
23324
D
Common Stock
2016-08-25
4
F
0
7745
28.86
D
15579
D
Director Stock Option (Right to Buy)
22.35
2016-08-25
4
M
0
10000
0.00
D
2016-11-30
Common Stock
1000
0
D
The reporting person paid the exercise price of a stock option issued in accordance with Rule 16b-3 by having shares of stock acquired upon the exercise withheld by the issuer.
The amount beneficially owned includes 5,693 restricted stock units (RSUs) that vest on service-based vesting dates and 7,561 DSUs that are vested upon issuance, each of which will be settled in shares of the issuer's common stock on a 1 for 1 basis when the reporting person's service as a director ends.
This option is fully vested.
/s/ Bryan K. Phillips, on behalf of Jose H. Bedoya
2016-08-26