0001209191-19-058299.txt : 20191127 0001209191-19-058299.hdr.sgml : 20191127 20191127152137 ACCESSION NUMBER: 0001209191-19-058299 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191125 FILED AS OF DATE: 20191127 DATE AS OF CHANGE: 20191127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEDOYA JOSE H CENTRAL INDEX KEY: 0001207430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 191257276 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 2019-11-25 0 0000924717 SURMODICS INC SRDX 0001207430 BEDOYA JOSE H 604 10TH STREET BOULDER CO 80302 1 0 0 0 Common Stock 2019-11-25 4 M 0 3537 20.37 A 23835 D Common Stock 2019-11-25 4 F 0 1716 42.00 D 22119 D Stock Option (right to buy) 20.37 2019-11-25 4 M 0 3537 0.00 D 2019-12-12 Common Stock 3537 0 D Shares withheld to cover the exercise cost of the stock option. The amount beneficially owned includes 9,543 restricted stock units (RSUs) that vest on service-based vesting dates and 8,430 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. Fully vested. /s/ Bryan K. Phillips, on behalf of Jose H. Bedoya 2019-11-27