0001209191-23-060002.txt : 20231229
0001209191-23-060002.hdr.sgml : 20231229
20231229162657
ACCESSION NUMBER: 0001209191-23-060002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231227
FILED AS OF DATE: 20231229
DATE AS OF CHANGE: 20231229
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KALICH RONALD B SR
CENTRAL INDEX KEY: 0001198349
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23837
FILM NUMBER: 231528017
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SURMODICS INC
CENTRAL INDEX KEY: 0000924717
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
2023-12-27
0
0000924717
SURMODICS INC
SRDX
0001198349
KALICH RONALD B SR
9924 WEST 74TH STREET
EDEN PRAIRIE
MN
55344
1
0
0
0
0
Common Stock
2023-12-27
4
M
0
3932
23.95
A
38529
D
Common Stock
2023-12-27
4
F
0
2545
37.01
D
35984
D
Stock Option (right to buy)
23.95
2023-12-27
4
M
0
3932
0.00
D
2024-02-14
Common Stock
3932
0
D
The amount beneficially owned includes 12,097 restricted stock units (RSUs) that vest on service-based vesting dates and 14,450 DSUs that are vested upon issuance, each of which will be settled in shares of the issuer's common stock on a 1 for 1 basis when the reporting person's service as a director ends.
Fully vested.
/s/ John Manders, on behalf of Ronald B. Kalich
2023-12-29