0001209191-22-059022.txt : 20221130 0001209191-22-059022.hdr.sgml : 20221130 20221130160711 ACCESSION NUMBER: 0001209191-22-059022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221128 FILED AS OF DATE: 20221130 DATE AS OF CHANGE: 20221130 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: 221435665 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 2022-11-28 0 0000924717 SURMODICS INC SRDX 0001207430 BEDOYA JOSE H 604 10TH STREET BOULDER CO 80302 1 0 0 0 Common Stock 2022-11-28 4 M 0 4366 20.18 A 28558 D Common Stock 2022-11-28 4 S 0 4366 34.888 D 24192 D Stock Option (right to buy) 20.18 2022-11-28 4 M 0 4366 0.00 D 2022-12-18 Common Stock 4366 0 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. Fully vested. /s/ John Manders, on behalf of Jose H. Bedoya 2022-11-30