0001209191-19-010777.txt : 20190215 0001209191-19-010777.hdr.sgml : 20190215 20190215183716 ACCESSION NUMBER: 0001209191-19-010777 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190213 FILED AS OF DATE: 20190215 DATE AS OF CHANGE: 20190215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KALICH RONALD B SR CENTRAL INDEX KEY: 0001198349 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 19612837 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 2019-02-13 0 0000924717 SURMODICS INC SRDX 0001198349 KALICH RONALD B SR 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 0 0 0 Common Stock 2019-02-13 4 A 0 859 0.00 A 13602 D Stock Option (right to buy) 55.24 2019-02-13 4 A 0 2605 0.00 A 2026-02-13 Common Stock 2605 2605 D The amount beneficially owned includes 7,671 restricted stock units (RSUs) that vest on service-based vesting dates and 5,931 DSUs that are vested upon issuance, each of which 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 stock options vest ratably on a monthly basis and become fully vested on February 13, 2020, the 12-month anniversary of the grant date. /s/ Bryan K. Phillips, on behalf of Ronald B. Kalich 2019-02-15