Amendment to Form 4
 

FORM 4

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

     
OPEN BALLOT BOX 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
Powell                   James                      C. SurModics, Inc. (SRDX) to Issuer (Check all applicable)

(Last)                   (First)                   (Middle)

OPEN BALLOT BOX Director OPEN BALLOT BOX 10% Owner
X IN BALLOT BOX Officer (give title below)
3.   IRS Identification Number of Reporting Person, if an Entity (Voluntary) OPEN BALLOT BOX Other (specify below)
9924 West 74th Street President

                                  (Street)


4.   Statement for Month/Year 7.   Individual or Joint/Group Filing
Eden Prairie            MN                   55344 (Check applicable line)  

(City)                   (State)                   (Zip)

X IN BALLOT BOX Form Filed by One Reporting Person
5.   If Amendment, Date of Original (Month/Year) OPEN BALLOT BOX Form Filed by More than One
Reporting Person
April 2002


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 12/15/00 G 200 D None
Common Stock 1/1/01 G   550 D None
Common Stock 11/28/01 G V 100 D None
Common Stock 4/19/02 M   30,200 A $2.50
Common Stock 4/19/02 S   30,200 D $44.309
Common Stock 4/22/02 M   1,700 A $2.50
Common Stock 4/22/02 S   1,700 D $44.00
Common Stock 4/24/02 M   23,300 A $2.50
Common Stock 4/24/02 S   23,300 D $41.129
Common Stock            
Common Stock            

[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)



     
     
     
     
     
     
     
     
90,225* D  
26,000 I By IRA
500 I By Spouse
     
*Includes 114 shares acquired since last report under Issuer's Employee Stock Purchase Plan


 

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)   $2.50 4/19/02 M   30,200
Employee Stock Option (Right to Buy)   $2.50 4/22/02 M    1,700
Employee Stock Option (Right to Buy)   $2.50 4/24/02 M    23,300
Employee Stock Option (Right to Buy) $3.875 Previously Reported
Employee Stock Option (Right to Buy) $8.0625 Previously Reported
Employee Stock Option (Right to Buy) $25.094 Previously Reported

[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) 9/18/02 Common Stock 92,000 None
(1) 9/18/02 Common Stock 92,000 None
(1) 9/18/02 Common Stock 92,000 None
(2) 9/21/05 Common Stock 20,000 None
(3) 9/20/06 Common Stock 30,000 None
(4) 9/18/07 Common Stock 20,000 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)



     
     
0 D  
20,000 D  
30,000 D  
20,000 D  

      Explanation of Responses:

(1)   Exercisable in annual increments of 18,400 shares each commencing 9/18/97.
(2)   Exercisable in annual increments of 4,000 shares each commencing 9/21/99.
(3)   Exercisable in annual increments of 6,000 shares each commencing 9/20/00.
(4)   Exercisable in annual increments of 4,000 shares each commencing 9/18/01.
     
/s/ James C. Powell
July 12, 2002
**Signature of Reporting Person Date

      **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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(Print or Type Responses)