0001209191-15-086453.txt : 20151221 0001209191-15-086453.hdr.sgml : 20151221 20151221182451 ACCESSION NUMBER: 0001209191-15-086453 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151217 FILED AS OF DATE: 20151221 DATE AS OF CHANGE: 20151221 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maharaj Gary R CENTRAL INDEX KEY: 0001508798 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23837 FILM NUMBER: 151300408 MAIL ADDRESS: STREET 1: 9924 WEST 74TH STREET CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-12-17 0 0000924717 SURMODICS INC SRDX 0001508798 Maharaj Gary R 9924 WEST 74TH STREET EDEN PRAIRIE MN 55344 1 1 0 0 President & CEO Common Stock 2015-12-17 4 A 0 15843 0.00 A 97754 D Common Stock 2015-12-17 4 F 0 5324 20.25 D 93815 D Employee Stock Option (right to buy) 20.25 2015-12-17 4 A 0 54347 0.00 A 2022-12-17 Common Stock 54347 54347 D Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2014. Shares withheld to satisfy taxes incident to vesting of performance share award. Includes 680 shares acquired through the Employee Stock Purchase Plan for the phase ending 2/27/15 and 705 shares for the phase ending 8/31/15. The award vests in four equal installments on each of the first four anniversaries of the December 17, 2015 grant date. /s/ Bryan K. Phillips, on behalf of Gary R. Maharaj 2015-12-21