0001209191-18-060213.txt : 20181129
0001209191-18-060213.hdr.sgml : 20181129
20181129160549
ACCESSION NUMBER: 0001209191-18-060213
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181127
FILED AS OF DATE: 20181129
DATE AS OF CHANGE: 20181129
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Arens Timothy J.
CENTRAL INDEX KEY: 0001506586
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 181208555
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-11-27
0
0000924717
SURMODICS INC
SRDX
0001506586
Arens Timothy J.
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
Interim VP, Finance, and CFO
Common Stock
2018-11-27
4
A
0
2295
0.00
A
41507
D
Common Stock
2018-11-27
4
A
0
8711
0.00
A
50218
D
Common Stock
2018-11-27
4
F
0
3973
56.63
D
46245
D
Common Stock
2018-11-28
4
F
0
596
60.06
D
45649
D
Employee Stock Option (right to bu)
56.63
2018-11-27
4
A
0
10653
0.00
A
2025-11-27
Common Stock
10653
10653
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, 2018.
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 27, 2018 grant date.
/s/ Bryan K. Phillips on behalf of Timothy J. Arens
2018-11-29