0001209191-16-152202.txt : 20161128
0001209191-16-152202.hdr.sgml : 20161128
20161128172215
ACCESSION NUMBER: 0001209191-16-152202
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161123
FILED AS OF DATE: 20161128
DATE AS OF CHANGE: 20161128
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: OLSON CHARLES W
CENTRAL INDEX KEY: 0001286125
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 162020697
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-23
0
0000924717
SURMODICS INC
SRDX
0001286125
OLSON CHARLES W
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
Senior VP & GM, Med Dev
Common Stock
2016-11-23
4
S
0
300
26.00
D
27245
D
Common Stock
2016-11-25
4
S
0
200
26.05
D
27045
D
Common Stock
800
I
By IRA
Sales effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 31, 2016 and amended on November 22, 2016.
/s/ Bryan K. Phillips, on behalf of Charles W. Olson
2016-11-28