0001209191-20-061231.txt : 20201202 0001209191-20-061231.hdr.sgml : 20201202 20201202171638 ACCESSION NUMBER: 0001209191-20-061231 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201130 FILED AS OF DATE: 20201202 DATE AS OF CHANGE: 20201202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sultana Nusrath CENTRAL INDEX KEY: 0001802470 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 201364750 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 2020-11-30 0 0000924717 SURMODICS INC SRDX 0001802470 Sultana Nusrath 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 VP, Clinical Affairs Common Stock 2020-11-30 4 A 0 3739 0.00 A 7015 D Employee Stock Option (right to buy) 37.44 2020-11-30 4 A 0 15648 0.00 A 2027-11-30 Common Stock 15648 15648 D The award vests in four equal installments on each of the first four anniversaries of the November 30, 2020 grant date. /s/ John Manders on behalf of Nusrath Sultana 2020-12-02