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