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SURMODICS INC Director's Dealing 2017

Nov 30, 2017

32845_dirs_2017-11-30_15cb966f-0ab2-4496-8822-6d029aa9d1d1.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: SURMODICS INC (SRDX)
CIK: 0000924717
Period of Report: 2017-11-28

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

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2017-11-28 Common Stock A 4518 $0.00 Acquired 17543 Direct
2017-11-28 Common Stock A 6525 $0.00 Acquired 24068 Direct
2017-11-28 Common Stock F 3146 $33.20 Disposed 20922 Direct
2017-11-30 Common Stock F 436 $33.10 Disposed 20486 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2017-11-28 Employee Stock Option (right to buy) $33.20 A 21285 Acquired 2024-11-28 Common Stock (21285) Direct

Footnotes

F1: Includes 865 shares acquired through the Employee Stock Purchase Plan for the phase ending February 29, 2016, February 28, 2017 and August 31, 2017.

F2: Shares issued in connection with the vesting of a performance share award under long-term incentive plan based on performance during three-year period ended September 30, 2017.

F3: Shares withheld to satisfy taxes incident to vesting of performance share award.

F4: The award vests in four equal installments on each of the first four anniversaries of the November 28, 2017 grant date.