0001209191-16-153171.txt : 20161202
0001209191-16-153171.hdr.sgml : 20161202
20161202185049
ACCESSION NUMBER: 0001209191-16-153171
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: Sutton Gregg S
CENTRAL INDEX KEY: 0001304052
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 162032380
MAIL ADDRESS:
STREET 1: 6464 SYCAMORE COURT NORTH
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55369
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-30
0
0000924717
SURMODICS INC
SRDX
0001304052
Sutton Gregg S
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
VP of Research and Development
Common Stock
2016-11-30
4
A
0
2713
0.00
A
3477
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
Includes 764 shares acquired through the Employee Stock Purchase Plan for the phase ending August 31, 2016.
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, attorney-in-fact for Gregg S. Sutton
2016-12-02