0001209191-19-058305.txt : 20191127 0001209191-19-058305.hdr.sgml : 20191127 20191127152703 ACCESSION NUMBER: 0001209191-19-058305 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: Manders John D. CENTRAL INDEX KEY: 0001742194 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 191257344 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN 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 2019-11-25 0 0000924717 SURMODICS INC SRDX 0001742194 Manders John D. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Corporate Controller Common Stock 2019-11-25 4 A 0 595 0.00 A 2449 D Employee Stock Option (right to buy) 42.00 2019-11-25 4 A 0 1740 0.00 A 2026-11-25 Common Stock 1740 1740 D Includes 76 shares acquired through the Employee Stock Purchase Plan for the phase ending August 30, 2019. The award vests in four equal installments on each of the first four anniversaries of the November 25, 2019 grant date. /s/ Bryan K. Phillips, on behalf of John D. Manders 2019-11-27