SEC Form 4 · accession 0001209191-15-037451
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Amy E. Seibert
Officer — Principal Accounting Officer
Period of report
Apr 28, 2015
Accepted (ET)
Apr 30, 2015 · 4:27 pm EDT
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 | Apr 28, 2015 | A | 1,890 | $0.00 | A | 1,890 | 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 | $26.45 | Apr 28, 2015 | A | 1,694 | A | — | Apr 28, 2022 | Common Stock | 1,694 | 1,694 | D |
Explanation of responses
- F1Restricted Stock award will vest in three equal installments on April 28, 2016, April 28, 2017 and April 28, 2018.
- F2The award vests in four equal installments on each of the first four anniversaries of the April 28, 2015 grant date.