SEC Form 4 · accession 0001209191-16-138791
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jose H Bedoya
Director
Period of report
Aug 25, 2016
Accepted (ET)
Aug 26, 2016 · 4:12 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 Stock | Aug 25, 2016 | M | 10,000 | $22.35 | A | 23,324 | D | |
| Common StockF2 | Aug 25, 2016 | F | 7,745 | $28.86 | D | 15,579 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Director Stock Option (Right to Buy)F3 | $22.35 | Aug 25, 2016 | M | 10,000 | D | — | Nov 30, 2016 | Common Stock | 1,000 | 0 | D |
Explanation of responses
- F1The reporting person paid the exercise price of a stock option issued in accordance with Rule 16b-3 by having shares of stock acquired upon the exercise withheld by the issuer.
- F2The amount beneficially owned includes 5,693 restricted stock units (RSUs) that vest on service-based vesting dates and 7,561 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.
- F3This option is fully vested.