0001209191-19-058306.txt : 20191127 0001209191-19-058306.hdr.sgml : 20191127 20191127152748 ACCESSION NUMBER: 0001209191-19-058306 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: OLSON CHARLES W CENTRAL INDEX KEY: 0001286125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 191257350 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 0001286125 OLSON CHARLES W 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Senior VP of Bus Dev, Med Dev Common Stock 2019-11-25 4 A 0 7852 0.00 A 42092 D Common Stock 2019-11-25 4 F 0 3581 42.00 D 38511 D Common Stock 2019-11-25 4 A 0 3095 0.00 A 41606 D Common Stock 800 I By IRA Employee Stock Option (right to buy) 42.00 2019-11-25 4 A 0 13579 0.00 A 2026-11-25 Common Stock 13579 13579 D Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2019. 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 25, 2019 grant date. /s/ Bryan K. Phillips on behalf of Charles W. Olson 2019-11-27