SEC Form 4 · accession 0001209191-18-060222
SURMODICS INC · SRDX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bryan K Phillips
Officer — SVP, Gen Counsel & Secretary
Period of report
Nov 27, 2018
Accepted (ET)
Nov 29, 2018 · 4:16 pm EST
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 | Nov 27, 2018 | A | 2,648 | $0.00 | A | 29,235 | D | |
| Common StockF1 | Nov 27, 2018 | A | 8,711 | $0.00 | A | 37,946 | D | |
| Common StockF2 | Nov 27, 2018 | F | 3,973 | $56.63 | D | 33,973 | D | |
| Common Stock | Nov 28, 2018 | F | 687 | $60.06 | D | 33,286 | 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 | $56.63 | Nov 27, 2018 | A | 12,292 | A | — | Nov 27, 2025 | Common Stock | 12,292 | 12,292 | D |
Explanation of responses
- F1Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2018.
- F2Shares withheld to satisfy taxes incident to vesting of performance share award.
- F3The award vests in four equal installments on each of the first four anniversaries of the November 27, 2018 grant date.