SEC Form 4 · accession 0001209191-15-023198
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Dantzker
Director
Period of report
Mar 3, 2015
Accepted (ET)
Mar 5, 2015 · 7:20 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000924717
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 3, 2015 | M | 12,528 | $11.72 | A | 21,183 | D | |
| Common StockF1 | Mar 3, 2015 | M | 10,496 | $12.40 | A | 31,679 | D | |
| Common StockF1 | Mar 3, 2015 | F | 11,362 | $24.38 | D | 20,317 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2 | $11.72 | Mar 3, 2015 | M | 12,528 | D | — | Jan 5, 2018 | Common Stock | 12,528 | 0 | D |
| Employee stock option (right to buy)F2 | $12.40 | Mar 3, 2015 | M | 10,496 | D | — | Nov 30, 2018 | Common Stock | 10,496 | 0 | D |
Explanation of responses
- F1The amount beneficially owned includes 4,207 restricted stock units (RSUs) that vest on service-based vesting dates and 3,948 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 persons' service as a director ends.
- F2Fully vested.