0001209191-22-009306.txt : 20220214
0001209191-22-009306.hdr.sgml : 20220214
20220214163849
ACCESSION NUMBER: 0001209191-22-009306
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: DANTZKER DAVID
CENTRAL INDEX KEY: 0001245926
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 22633341
MAIL ADDRESS:
STREET 1: 80 CUTTERMILL ROAD STE 311
CITY: GREAT NECK
STATE: NY
ZIP: 11021
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
0001245926
DANTZKER DAVID
C/O WHEATLEY PARTNERS, L.P.
80 CUTTERMILL ROAD
GREAT NECK
NY
11021
1
0
0
0
Common Stock
2022-02-10
4
A
0
1375
0.00
A
32585
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 15,415 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 David R. Dantzker
2022-02-14