0001209191-17-063109.txt : 20171130 0001209191-17-063109.hdr.sgml : 20171130 20171130202231 ACCESSION NUMBER: 0001209191-17-063109 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161130 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arens Timothy J. CENTRAL INDEX KEY: 0001506586 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 171232461 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: X1 ZIP: 55344 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2016-11-30 2016-12-02 0 0000924717 SURMODICS INC SRDX 0001506586 Arens Timothy J. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP-Corporate Dev. and Strategy Common Stock 2016-11-30 4 F 0 1641 23.95 D 24665 D Form 4 reported on December 2, 2016 listed an incorrect number of shares withheld for taxes and an incorrect number of shares owned directly following the reported transaction. /s/ Bryan K. Phillips on behalf of Timothy J. Arens 2017-11-30