0001209191-18-036049.txt : 20180606 0001209191-18-036049.hdr.sgml : 20180606 20180606162038 ACCESSION NUMBER: 0001209191-18-036049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180604 FILED AS OF DATE: 20180606 DATE AS OF CHANGE: 20180606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OLSON CHARLES W CENTRAL INDEX KEY: 0001286125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 18884016 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 2018-06-04 0 0000924717 SURMODICS INC SRDX 0001286125 OLSON CHARLES W 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Senior VP of Bus Dev, Med Dev Common Stock 2018-06-04 4 M 0 10707 21.03 A 42934 D Common Stock 2018-06-04 4 F 0 7259 51.55 D 35675 D Common Stock 800 I By IRA Employee Stock Option (right to buy) 21.03 2018-06-04 4 M 0 10707 0.00 D 2021-12-02 Common Stock 10707 3569 D The reporting person makes a payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. The award vests in four equal installments on each of the first four anniversaries of the December 2, 2014 grant date. /s/ Bryan K. Phillips, on behalf of Charles W. Olson 2018-06-06