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