SEC Form 4 · accession 0001209191-18-036051
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph J. Stich
Officer — VP and GM, IVD
Period of report
May 21, 2018
Accepted (ET)
Jun 6, 2018 · 4:21 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 | May 21, 2018 | G | 2,000 | $0.00 | D | 51,554 | D | |
| Common Stock | Jun 4, 2018 | M | 13,266 | $20.37 | A | 64,820 | D | |
| Common Stock | Jun 4, 2018 | F | 8,901 | $51.55 | D | 55,919 | D | |
| Common StockF3 | Jun 5, 2018 | S | 890 | $52.0039 | D | 55,029 | D | |
| Common StockF4 | Jun 5, 2018 | S | 1,110 | $52.7941 | D | 53,919 | 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)F5 | $20.37 | Jun 4, 2018 | M | 13,266 | D | — | Dec 12, 2019 | Common Stock | 13,266 | 0 | D |
Explanation of responses
- F1The 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.
- F2Sales effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 22, 2018.
- F3Reflects the weighted average price of 890 shares of common stock of Surmodics,Inc. sold by the reporting person in multiple transactions on June 5, 2018 with sale prices ranging from $51.55 to $52.40 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
- F4Reflects the weighted average price of 1,110 shares of common stock of Surmodics,Inc. sold by the reporting person in multiple transactions on June 5, 2018 with sale prices ranging from $52.65 to $53.05 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
- F5Fully vested.