SURMODICS INC — Director's Dealing 2016

Dec 2, 2016

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: SURMODICS INC (SRDX)
CIK: 0000924717
Period of Report: 2016-11-30

Reporting Person: Maharaj Gary R (Director, President & CEO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2016-11-30	Common Stock	A	7098	$0.00	Acquired	137305	Direct
2016-11-30	Common Stock	A	14100	$0.00	Acquired	151405	Direct
2016-11-30	Common Stock	F	6797	$23.95	Disposed	144608	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2016-11-30	Employee Stock Option (right to buy)	$23.95	A	44779	Acquired	2023-11-30	Common Stock (44779)	Direct

Footnotes

F1: Performance shares awarded under long-term incentive plan based on performance during three-year period ended September 30, 2016.

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

F3: The award vests in four equal installments on each of the first four anniversaries of the November 30, 2016 grant date.