SEC Form 4 · accession 0001209191-18-041999
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy J. Arens
Officer — Interim VP, Finance, and CFO
Period of report
Jul 5, 2018
Accepted (ET)
Jul 9, 2018 · 4:31 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 | Jul 5, 2018 | M | 5,863 | $21.03 | A | 38,293 | D | |
| Common Stock | Jul 5, 2018 | M | 6,099 | $20.25 | A | 44,392 | D | |
| Common Stock | Jul 5, 2018 | M | 3,964 | $23.95 | A | 48,356 | D | |
| Common Stock | Jul 5, 2018 | F | 8,947 | $58.25 | D | 39,409 | 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 | $21.03 | Jul 5, 2018 | M | 5,863 | D | — | Dec 2, 2021 | Common Stock | 5,863 | 8,413 | D |
| Employee Stock Option (right to buy)F3 | $20.25 | Jul 5, 2018 | M | 6,099 | D | — | Dec 17, 2022 | Common Stock | 6,099 | 13,828 | D |
| Employee Stock OptionF4 | $23.95 | Jul 5, 2018 | M | 3,964 | D | — | Nov 30, 2023 | Common Stock | 3,964 | 13,157 | 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.
- F2The award vests in four equal installments on each of the first four anniversaries of the December 2, 2014 grant date.
- F3The award vests in four equal installments on each of the first four anniversaries of the December 17, 2015 grant date.
- F4The award vests in four equal installments on each of the first four anniversaries of the November 30, 2016 grant date.