0001209191-18-012493.txt : 20180222
0001209191-18-012493.hdr.sgml : 20180222
20180222165526
ACCESSION NUMBER: 0001209191-18-012493
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180220
FILED AS OF DATE: 20180222
DATE AS OF CHANGE: 20180222
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: 18633283
MAIL ADDRESS:
STREET 1: 1244 76TH STREET WEST
CITY: INVER GROVE HEIGHTS
STATE: MN
ZIP: 55077
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
2018-02-20
0
0000924717
SURMODICS INC
SRDX
0001703985
Heine Lisa Wipperman
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2018-02-20
4
A
0
1739
0.00
A
3015
D
Stock Option (right to buy)
27.30
2018-02-20
4
A
0
5275
0.00
A
2025-02-20
Common Stock
5275
5275
D
The amount beneficially owned includes 3,015 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 February 20, 2019.
/s/ Bryan K. Phillips, on behalf of Lisa Wipperman Heine
2018-02-22
EX-24.4_771420
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
I, Lisa Wipperman Heine, hereby authorize and designate each of
Bryan K. Phillips, Douglas P. Long, Nicole J. Leimer, and Amra Hoso signing
singly, as my true and lawful attorney-in-fact to:
(1) execute for and on my behalf, in my capacity as an officer and/or director
of Surmodics, Inc., a Minnesota corporation (the "Company"), the Forms 4 and 5
in accordance with Section 16(a) of the Securities Exchange Act of 1934 (the
"Exchange Act") and the rules and regulations promulgated thereunder;
(2) do and perform any and all acts for and on my behalf which may be necessary
or desirable to complete and execute any such Forms 4 or 5 and timely file such
form with the Securities and Exchange Commission, any stock exchange or similar
authority, and the NASDAQ Stock Market; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be to my benefit,
in my best interest, or legally required of me, it being understood that the
statements executed by such attorney-in-fact on my behalf pursuant to this Power
of Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.
I hereby further grant to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and
powers herein granted, as fully to all intents and purposes as I might or
could do if personally present, with full power of substitutes or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. I hereby acknowledge that the foregoing attorneys-in-fact, in
serving in such capacity at my request, are not assuming, nor is the Company
assuming, any of my responsibilities to comply with Section 16 of the Exchange
Act.
This Power of Attorney shall remain in full force and effect until
I am no longer required to file Forms 4 and 5 with respect to my holdings of
and transactions in securities issued by the Company, unless earlier revoked
by me in a signed writing delivered to the foregoing attorneys-in-fact.
Notwithstanding the foregoing, if any such attorney-in-fact hereafter ceases
to be either a partner or employee of Faegre Baker Daniels LLP, or an employee
of the Company, this Power of Attorney shall be automatically revoked solely as
to such individual, immediately upon such cessation, without any further action
on my part.
I hereby revoke all previous Powers of Attorney that have been
granted by me in connection with my reporting obligations under Section 16 of
the Exchange Act with respect to my holdings of and transactions in securities
issued by the Company.
IN WITNESS WHEREOF, I have caused this Power of Attorney to be duly
executed as of this 14th day of April, 2017.
/s/ Lisa Wipperman Heine