0001209191-17-063124.txt : 20171130 0001209191-17-063124.hdr.sgml : 20171130 20171130202906 ACCESSION NUMBER: 0001209191-17-063124 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171128 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stich Joseph J. CENTRAL INDEX KEY: 0001487121 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 171232480 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN 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 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-28 0 0000924717 SURMODICS INC SRDX 0001487121 Stich Joseph J. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP and GM, IVD Common Stock 2017-11-28 4 A 0 4518 0.00 A 44507 D Common Stock 2017-11-28 4 A 0 6525 0.00 A 51032 D Common Stock 2017-11-28 4 F 0 3146 33.20 D 47886 D Common Stock 2017-11-30 4 F 0 436 33.10 D 47450 D Employee Stock Option (right to buy) 33.20 2017-11-28 4 A 0 21285 0.00 A 2024-11-28 Common Stock 21285 21285 D Shares issued in connection with the vesting of a performance share award under long-term incentive plan based on performance during three-year period ended September 30, 2017. Shares withheld to satisfy taxes incident to vesting of performance share award. The award vests in four equal installments on each of the first four anniversaries of the November 28, 2017 grant date. /s/ Bryan K. Phillips, on behalf of Joseph J. Stich 2017-11-30