SURMODICS INC — Director's Dealing 2015

Dec 21, 2015

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: SURMODICS INC (SRDX)
CIK: 0000924717
Period of Report: 2015-12-17

Reporting Person: LaFrence Andrew D. C. (VP of Finance & CFO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2015-12-17	Common Stock	A	4679	$0.00	Acquired	8556	Direct
2015-12-17	Common Stock	F	1573	$20.25	Disposed	7260	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2015-12-17	Common Stock	$20.25	A	19927	Acquired	2022-12-17	Common Stock (19927)	Direct

Footnotes

F1: Performance shares awarded under long-term incentive plan based on performance during three-year period ended November 30, 2014.

F2: Shares withheld to satisfy taxes incident to vesting of performance share award.

F3: Includes 277 shares acquired through the Employee Stock Purchase Plan for the phase ending 8/31/15.

F4: The award vests in four equal installments on each of the first four anniversaries of the December 17, 2015 grant date.