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