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