SEC Form 4 · accession 0001209191-16-135692
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph J. Stich
Officer — VP, Bus Ops & GM, IVD
Period of report
Aug 3, 2016
Accepted (ET)
Aug 5, 2016 · 4:04 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 | Aug 3, 2016 | M | 20,000 | $22.11 | A | 43,492 | D | |
| Common Stock | Aug 3, 2016 | F | 17,328 | $27.64 | D | 26,164 | 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)F3 | $22.11 | Aug 3, 2016 | M | 20,000 | D | — | Mar 12, 2017 | Common Stock | 20,000 | 0 | D |
Explanation of responses
- F1Includes 387 shares acquired through the Employee Stock Purchase Plan for phase ending 2/29/2016.
- F2The reporting person makes a payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3.
- F3This option is fully vested.