0001209191-23-057624.txt : 20231206 0001209191-23-057624.hdr.sgml : 20231206 20231206164712 ACCESSION NUMBER: 0001209191-23-057624 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231204 FILED AS OF DATE: 20231206 DATE AS OF CHANGE: 20231206 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: 231470196 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 X0508 4 2023-12-04 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 0 Common Stock 2023-12-04 4 A 0 6302 0.00 A 52251 D Common Stock 800 I By IRA Employee Stock Option (right to buy) 33.64 2023-12-04 4 A 0 20101 0.00 A 2030-12-04 Common Stock 20101 20101 D The award vests in four equal installments on each of the first four anniversaries of the December 4, 2023 grant date. /s/ John Manders on behalf of Charles W. Olson 2023-12-06