0001209191-19-010779.txt : 20190215
0001209191-19-010779.hdr.sgml : 20190215
20190215183843
ACCESSION NUMBER: 0001209191-19-010779
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: McCormick Shawn
CENTRAL INDEX KEY: 0001454092
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 19612842
MAIL ADDRESS:
STREET 1: 9600-54TH AVENUE NORTH
STREET 2: SUITE 100
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
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
0001454092
McCormick Shawn
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2019-02-13
4
A
0
859
0.00
A
7758
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 5,336 restricted stock units (RSUs) that vest on service-based vesting dates and 2,422 deferred stock units (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 Shawn McCormick
2019-02-15