SurModics, Inc.
 

FORM 4

U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

     
Check box if no longer subject to
Section 16. Form 4 or Form 5 obligations may
continue. See Instruction 1(b).

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

         
1.   Name and Address of Reporting Person* 2.   Issuer Name and Ticker or Trading Symbol 6.   Relationship of Reporting Person
Elliott                 Robert                 W., Jr. SurModics, Inc. (SRDX) to Issuer (Check all applicable)
(Last)                   (First)                   (Middle)
Director 10% Owner
Officer (give title below)
3.   IRS Identification Number of Reporting Person, if an Entity (Voluntary) Other (specify below)
9924 West 74th Street Vice President
                                  (Street)
4.   Statement for Month/Year 7.   Individual or Joint/Group Filing
Eden Prairie             MN            55344 July 2002 (Check applicable line)  
(City)                   (State)                   (Zip)
Form Filed by One Reporting Person
Form Filed by More than One
Reporting Person
5.   If Amendment, Date of Original (Month/Year)

TABLE I — NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED

                         
4.   Securities Acquired (A)
3.   Transaction Code or Disposed of (D)
2.  Transaction Date (Instr. 8) (Instr. 3, 4 and 5)
(A)
or
1.   Title of Security (Instr. 3) (Month/Day/Year) Code V Amount (D) Price
Common Stock 6/1/02 A V 2,000 A None
Common Stock 7/19/02 P 500 A $20.54
Common Stock 7/19/02 P 200 A $20.58
Common Stock 7/19/02 P 200 A $20.57
Common Stock 7/19/02 P 100 A $20.56
Common Stock 7/26/02 P 1,000 A $24.74

[Additional columns below]

[Continued from above table]

         
5.   Amount of 6.   Ownership Form:
Securities Beneficially Direct (D) or 7.   Nature of Indirect
Owned at End of Month Indirect (I) Beneficial Ownership
(Instr. 3 and 4) (Instr. 4) (Instr. 4)
     
     
     
     
     
     
4,000 D  

 

 

FORM 4 (CONTINUED)

TABLE II — DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)

                         
5. Number of
Derivative
Securities
Acquired (A) or
4. Transaction Disposed of (D)
Code (Instr. 3, 4,
2. Conversion or (Instr. 8) and 5)
1. Title of Derivative Exercise Price of 3. Transaction Date
Security (Instr. 3) Derivative Security (Month/Day/Year) Code V (A) (D)
Employee Stock Option
(Right to Buy)		 $39.301 6/1/02 A V 5,000
             
             
             

[Additional columns below]

[Continued from above table]

                 
6. Date Exercisable 7. Title and Amount
and Expiration of Underlying
Date (Month/Day/ Securities
Year) (Instr. 3 and 4)
8. Price of
Amount or Derivative
Date Expiration Number of Security
Exercisable Date Title Shares (Instr. 5)
(1) 6/1/12 Common Stock 5,000 None
         
         
         

         
9. Number of 10. Ownership
Derivative Form of
Securities Derivative 11. Nature of
Beneficially Securities Indirect
Owned at End Beneficially Beneficial
of Month owned at end of month Ownership
(Instr. 4) (Instr. 4) (Instr. 4)
5,000 D  
     
     
     

      Explanation of Responses:

      (1) Exercisable in annual increments of 1,000 shares each commencing 6/1/03.

     
/s/ Robert W. Elliott, Jr.
 July 26, 2002
Signature of Reporting Person** Date
 
Robert W. Elliott, Jr.

      **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

      Note: File three copies of this form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

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