0001209191-22-009305.txt : 20220214 0001209191-22-009305.hdr.sgml : 20220214 20220214164131 ACCESSION NUMBER: 0001209191-22-009305 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220210 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEDOYA JOSE H CENTRAL INDEX KEY: 0001207430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 22633469 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 2022-02-10 0 0000924717 SURMODICS INC SRDX 0001207430 BEDOYA JOSE H 604 10TH STREET BOULDER CO 80302 1 0 0 0 Common Stock 2022-02-10 4 A 0 1375 0.00 A 24192 D Stock Option (right to buy) 41.81 2022-02-10 4 A 0 3555 0.00 A 2029-02-10 Common Stock 3555 3555 D The amount beneficially owned includes 11,985 restricted stock units (RSUs) that vest on service-based vesting dates and 8,430 DSUs that are vested upon issuance, each of which will be settled in shares of the issuer's common stock on a 1 for 1 basis when the reporting person's service as a director ends. The stock options vest ratably on a monthly basis and become fully vested on February 10, 2023, the 12-month anniversary of the grant date. /s/ John Manders, on behalf of Jose H. Bedoya 2022-02-14