0001209191-22-059498.txt : 20221202 0001209191-22-059498.hdr.sgml : 20221202 20221202185154 ACCESSION NUMBER: 0001209191-22-059498 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: OLSON CHARLES W CENTRAL INDEX KEY: 0001286125 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 221443366 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 0001286125 OLSON CHARLES W 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 0 1 0 0 SVP, Medical Device Coatings Common Stock 2022-11-30 4 F 0 650 36.13 D 41253 D Common Stock 2022-11-30 4 F 0 692 36.13 D 40561 D Common Stock 2022-11-30 4 A 0 5535 0.00 A 46096 D Common Stock 800 I By IRA Employee Stock Option (right to buy) 36.13 2022-11-30 4 A 0 19243 0.00 A 2029-11-30 Common Stock 19243 19243 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 on behalf of Charles W. Olson 2022-12-02