0001209191-22-059497.txt : 20221202 0001209191-22-059497.hdr.sgml : 20221202 20221202185120 ACCESSION NUMBER: 0001209191-22-059497 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221130 FILED AS OF DATE: 20221202 DATE AS OF CHANGE: 20221202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Manders John D. CENTRAL INDEX KEY: 0001742194 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 221443363 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 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 2022-11-30 0 0000924717 SURMODICS INC SRDX 0001742194 Manders John D. 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 Corporate Controller Common Stock 2022-11-30 4 F 0 69 36.13 D 4887 D Common Stock 2022-11-30 4 F 0 175 36.13 D 4712 D Common Stock 2022-11-30 4 A 0 2075 0.00 A 6787 D Employee Stock Option (right to buy) 36.13 2022-11-30 4 A 0 4810 0.00 A 2029-11-30 Common Stock 4810 4810 D The award vests in four equal installments on each of the first four anniversaries of the November 30, 2022 grant date. /s/ John Manders 2022-12-02