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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 9)
SurModics, Inc.
 
(Name of Issuer)
Common Stock, $.05 par value
 
(Title of Class of Securities)
868873-10-0
 
(CUSIP Number)
December 31, 2008
 
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1(b)
þ Rule 13d-1(c)
o Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 

 


 

                     
CUSIP No.
 
868873-10-0 
 

 

           
1   NAMES OF REPORTING PERSONS. I.R.S. Identification Nos. of above persons (entities only)
Dale R. Olseth
     
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   o
     
3   SEC USE ONLY
   
   
     
4   CITIZENSHIP OR PLACE OF ORGANIZATION
   
  U.S.A.
       
  5   SOLE VOTING POWER
     
NUMBER OF   1,325,780(1)
       
SHARES 6   SHARED VOTING POWER
BENEFICIALLY    
OWNED BY   3,000(2)
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   1,325,780(1)
       
WITH 8   SHARED DISPOSITIVE POWER
     
    3,000(2)
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  1,328,780
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  7.5%
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  IN
(1) Includes 5,000 shares of unvested restricted common stock and vested options to purchase 5,000 shares of common stock.
(2) Includes 3,000 shares held by Mr. Olseth’s spouse. Mr. Olseth disclaims beneficial ownership of those shares.

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Item 1.
  (a)   Name of Issuer
SurModics, Inc.
 
 
  (b)   Address of Issuer’s Principal Executive Offices
9924 West 74th Street, Eden Prairie, MN 55344
 
Item 2.
  (a)   Name of Person Filing
Dale R. Olseth
 
 
  (b)   Address of Principal Business Office or, if none, Residence
IDS Tower, 80 South Eighth Street, Suite 4900, Minneapolis, MN 55402
 
 
  (c)   Citizenship
U.S.A.
 
 
  (d)   Title of Class of Securities
Common Stock
 
 
  (e)   CUSIP Number
868873-10-0
 
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
             
 
  (a)   o   Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
 
           
 
  (b)   o   Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
 
           
 
  (c)   o   Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
 
           
 
  (d)   o   Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).
 
           
 
  (e)   o   An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
 
           
 
  (f)   o   An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
 
           
 
  (g)   o   A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);
 
           
 
  (h)   o   A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
 
           
 
  (i)   o   A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
 
           
 
  (j)   o   Group, in accordance with §240.13d-1(b)(1)(ii)(J).
Not applicable.

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Item 4. Ownership
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
  (a)   Amount beneficially owned: 1,328,780
 
     
 
 
  (b)   Percent of class: 7.5%
 
     
 
 
  (c)   Number of shares as to which the person has:
 
     
 
  (i)   Sole power to vote or to direct the vote 1,325,780
 
     
 
 
  (ii)   Shared power to vote or to direct the vote 3,000
 
     
 
 
  (iii)   Sole power to dispose or to direct the disposition of 1,325,780
 
     
 
 
  (iv)   Shared power to dispose or to direct the disposition of 3,000
 
     
 
Item 5. Ownership of Five Percent or Less of a Class
Not applicable.
Item 6. Ownership of More than Five Percent on Behalf of Another Person
Not applicable.
Item 7.   Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent
Holding Company or Control Person
Not applicable.
Item 8. Identification and Classification of Members of the Group
Not applicable.
Item 9. Notice of Dissolution of Group
Not applicable.
Item 10. Certification
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

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Signature
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
         
 
  February 13, 2009
 
   
 
  Date    
 
       
 
  /s/ Dale R. Olseth
 
   
 
  Signature    
 
       
 
  Dale R. Olseth
 
   
 
  Name/Title    

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