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