0001209191-21-015853.txt : 20210302
0001209191-21-015853.hdr.sgml : 20210302
20210302160747
ACCESSION NUMBER: 0001209191-21-015853
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210226
FILED AS OF DATE: 20210302
DATE AS OF CHANGE: 20210302
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: 21703590
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
2021-02-26
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
2021-02-26
4
M
0
3569
21.03
A
46674
D
Common Stock
2021-02-26
4
M
0
9964
20.25
A
56638
D
Common Stock
2021-02-26
4
F
0
9139
52.15
D
47499
D
Common Stock
800
I
By IRA
Employee Stock Option (right to buy)
21.03
2021-02-26
4
M
0
3569
0.00
D
2021-12-02
Common Stock
3569
0
D
Employee Stock Option (right to buy)
20.25
2021-02-26
4
M
0
9964
0.00
D
2022-12-17
Common Stock
9964
0
D
Fully vested.
/s/ John Manders on behalf of Charles W. Olson
2021-03-02