0001209191-19-058308.txt : 20191127 0001209191-19-058308.hdr.sgml : 20191127 20191127152921 ACCESSION NUMBER: 0001209191-19-058308 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: SIDES TERI WOODWICK CENTRAL INDEX KEY: 0001758749 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 191257373 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 0001758749 SIDES TERI WOODWICK 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Senior VP and CMO Common Stock 2019-11-25 4 A 0 1904 0.00 A 11615 D Common Stock 2019-11-25 4 A 0 3571 0.00 A 15186 D Employee Stock Option (right to buy) 42.00 2019-11-25 4 A 0 8356 0.00 A 2026-11-25 Common Stock 8356 8356 D Employee Stock Option (right to buy) 42.00 2019-11-25 4 A 0 15668 0.00 A 2026-11-25 Common Stock 15668 15668 D The award will vest in full on November 25, 2021. 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 Teri Woodwick Sides 2019-11-27