0001209191-17-027001.txt : 20170414
0001209191-17-027001.hdr.sgml : 20170414
20170414182924
ACCESSION NUMBER: 0001209191-17-027001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170412
FILED AS OF DATE: 20170414
DATE AS OF CHANGE: 20170414
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: Heine Lisa Wipperman
CENTRAL INDEX KEY: 0001703985
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 17763389
MAIL ADDRESS:
STREET 1: 1244 76TH STREET WEST
CITY: INVER GROVE HEIGHTS
STATE: MN
ZIP: 55077
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-04-12
0
0000924717
SURMODICS INC
SRDX
0001703985
Heine Lisa Wipperman
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2017-04-12
4
A
0
1276
0.00
A
1276
D
Stock Option (right to buy)
23.50
2017-04-12
4
A
0
4104
0.00
A
2024-04-12
Common Stock
4104
4104
D
The amount beneficially owned includes 1,276 restricted stock units (RSUs) that vest on service-based vesting dates that 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.
The award will vest in full on 04/12/2018.
/s/ Nicole J. Leimer, on behalf of Lisa Wipperman Heine
2017-04-14