0001209191-19-058307.txt : 20191127 0001209191-19-058307.hdr.sgml : 20191127 20191127152834 ACCESSION NUMBER: 0001209191-19-058307 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: Phillips Bryan K CENTRAL INDEX KEY: 0001412895 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 191257368 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 0001412895 Phillips Bryan K 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 SVP, Gen Counsel & Secretary Common Stock 2019-11-25 4 A 0 7852 0.00 A 40395 D Common Stock 2019-11-25 4 F 0 3581 42.00 D 36814 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. /s/ Bryan K. Phillips 2019-11-27