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