0001564590-22-021508.txt : 20220527 0001564590-22-021508.hdr.sgml : 20220527 20220527090023 ACCESSION NUMBER: 0001564590-22-021508 CONFORMED SUBMISSION TYPE: SD PUBLIC DOCUMENT COUNT: 2 13p-1 1.01 20211231 1.02 20211231 FILED AS OF DATE: 20220527 DATE AS OF CHANGE: 20220527 FILER: 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 FILING VALUES: FORM TYPE: SD SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 22972779 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 SD 1 srdx-sd.htm SD srdx-sd.htm

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_______________

FORM SD

Specialized Disclosure Report

_______________

Surmodics, Inc.

(Exact name of registrant as specified in its charter)

_______________

 

Minnesota 

 

0-23837

 

41-1356149

(State of Incorporation)

 

(Commission File Number)

 

(I.R.S. Employer Identification No.)

9924 West 74th Street
Eden Prairie, Minnesota

 

55344

(Address of Principal Executive Offices)

 

(Zip Code)

 

Gordon S. Weber
Senior Vice President, General Counsel and Secretary
(952) 500-7000

(Name and telephone number, including area code, of the person to contact in connection with this report.)

Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:

Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2021.


 


 

 

Section 1 – Conflict Minerals Disclosure

Item 1.01 and 1.02 Conflict Minerals Disclosure and Report

Conflict Minerals Disclosure

A copy of the Surmodics, Inc. Conflict Minerals Report for the year ended December 31, 2021 is provided as Exhibit 1.01 hereto and is publicly available at www.surmodics.com in the Corporate Governance subsection of the Investors section of the website, under the heading “Governance Overview.”

Item 1.02 Exhibit

The Conflict Minerals Report is attached as Exhibit 1.01.

Section 2 – Exhibits

Item 2.01.  Exhibit

Exhibit 1.01 – Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.

 


 


 

 

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

SURMODICS, INC.

 

 

 

Date:  May 27, 2022

 

/s/ Gordon S. Weber

 

 

Gordon S. Weber

 

 

Sr. Vice President and General Counsel

 

 

 

 

 

EX-1.01 2 srdx-ex101_6.htm EX-1.01 srdx-ex101_6.htm

EXHIBIT 1.01

 

Conflict Minerals Report of Surmodics, Inc.

 

This Conflict Minerals Report of Surmodics, Inc. (the “Company”, “we” or “our”) for the period from January 1, 2021 to December 31, 2021, has been prepared pursuant to Rule 13p-1 and Form SD (together, the “Rule”) promulgated under Section 13(p) of the Securities Exchange Act of 1934, as amended.  The Rule requires disclosure of certain information when a company manufactures or contracts to manufacture products for which Conflict Minerals are necessary to the functionality or production of those products.  “Conflict Minerals” are defined in the Rule as gold, columbite-tantalite (coltan), cassiterite and wolframite, including their derivatives, which are limited to tantalum, tin and tungsten.

Company Background

The Company provides surface modification technologies for intravascular medical devices, finished intravascular medical devices, and chemical components for in vitro diagnostic immunoassay tests and microarrays.  As a provider of technologies and products to the medical device and diagnostic industries and producer of medical devices, the Company does not engage in the mining of conflict minerals, does not purchase raw ore or unrefined conflict minerals from any source, and does not directly purchase any product, mineral or any other materials from any source in any of the Covered Countries, as defined in the Rule.

Conflict Minerals Due Diligence

To comply with the Rule, the Company undertook an evaluation of the products it manufactures to determine whether any Conflict Mineral is necessary to the functionality or production of the product.  This evaluation included a review of product development information, bills of material, product specifications, design documents and information in our resource management systems.  Technical and supply chain personnel from our research and development, manufacturing and operations functions participated in the evaluation.

As a result of the evaluation, the Company determined that certain of its in vitro diagnostics products are made using a chemical compound (the “Chemical Compound”) derived from tin, which is considered necessary to the functionality or production of such products.  In the period covered by this Conflict Minerals Report, the Company estimates that it used approximately 13 grams of the Chemical Compound, with a purchase price of approximately $14.00.

In accordance with the Rule, the Company conducted, in good faith, due diligence on the source and chain of custody of the Conflict Minerals in the Chemical Compound.  The Company’s due diligence consisted of receiving a Conflict Minerals Reporting Template (CMRT) (Revision 6.01; May 19, 2020) (the “Template”), developed by the Responsible Minerals Initiative from the vendor of the Chemical Compound.  The Company considers the Template to be a reasonable country of origin inquiry.  

Results of Conflict Minerals Due Diligence

Based on the responses of the vendor to the Template, the Company has no reason to believe that the Chemical Compound may have originated in a Covered Country.