0001209191-16-153158.txt : 20161202 0001209191-16-153158.hdr.sgml : 20161202 20161202183834 ACCESSION NUMBER: 0001209191-16-153158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161130 FILED AS OF DATE: 20161202 DATE AS OF CHANGE: 20161202 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: Greaney Thomas A. CENTRAL INDEX KEY: 0001659777 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 162032364 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-30 0 0000924717 SURMODICS INC SRDX 0001659777 Greaney Thomas A. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP of Operations Common Stock 2016-11-30 4 A 0 2713 0.00 A 2713 D Employee Stock Option (right to buy) 23.95 2016-11-30 4 A 0 17121 0.00 A 2023-11-30 Common Stock 17121 17121 D The award vests in four equal installments on each of the first four anniversaries of the November 30, 2016 grant date. /s/ Bryan K. Phillips, on behalf of Thomas A. Greaney 2016-12-02