UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
FORM S-8
SURMODICS, INC.
Minnesota (State or other jurisdiction of incorporation or organization) |
41-1356149 (I.R.S. Employer Identification No.) |
9924 West 74th Street
Eden Prairie, MN 55344
(952) 829-2700
(Address, including zip code, and telephone number, including area code, of registrants principal executive offices)
SurModics, Inc. 2003 Equity Incentive Plan
(Full Title of the Plan)
Philip D. Ankeny
Chief Financial Officer
SurModics, Inc.
9924 West 74th Street
Eden Prairie, MN 55344
(952) 829-2700
(Name, address, including zip code, and telephone number, including area code, of agent for service)
Copies to:
David C. Grorud, Esq.
Fredrikson & Byron, P.A.
200 South Sixth Street, Suite 4000
Minneapolis, Minnesota 55402
(612) 492-7000
CALCULATION OF REGISTRATION FEE
Proposed | ||||||||||||||
Proposed Maximum | Maximum | |||||||||||||
Title of Securities | Amount to be | Offering Price | Aggregate | Amount of | ||||||||||
to be Registered | Registered(1) | Per Share(2) | Offering Price(2) | Registration Fee | ||||||||||
Options to Purchase Common Stock under the 2003 Equity Incentive Plan |
Indefinite | $0.00 | $0.00 | $0.00 | ||||||||||
Common Stock issuable upon exercise of options granted under the 2003 Equity Incentive Plan(3) |
1,800,000 shares | $33.16 | $59,688,000 | $7,025.28 | ||||||||||
TOTAL: | $7,025.28 | |||||||||||||
(1) | In addition, pursuant to Rule 416 under the Securities Act of 1933, this Registration Statement also covers an indeterminate amount of interests to be offered or sold pursuant to the employee benefit plan described herein and any additional securities which may become issuable pursuant to anti-dilution provisions of the plan. | |||
(2) | Estimated pursuant to Rule 457(h) solely for the purpose of calculating the registration fee and based upon the average of the high and low prices of the Registrants Common Stock on March 17, 2005. | |||
(3) | Each share of Common Stock includes a Preferred Stock Purchase Right pursuant to the Registrants Shareholder Rights Plan. |
The purpose of this Registration Statement is to register additional shares for issuance under the Registrants 2003 Equity Incentive Plan. The contents of the Registrants Registration Statement on Form S-8, Reg. No. 333-104258, are incorporated herein by reference.
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Eden Prairie and State of Minnesota, on the 21st day of March, 2005.
SURMODICS, INC. |
||||
By: | /s/ Dale R. Olseth | |||
Chief Executive Officer | ||||
POWER OF ATTORNEY
The undersigned each hereby constitutes and appoints one or both of Bruce J Barclay and Philip D. Ankeny his true and lawful attorney-in-fact and agent, each acting alone, with full powers of substitution and resubstitution, for him and in his name, place and stead, in any and all capacities, to sign the Form S-8 Registration Statement of SurModics, Inc. relating to the Companys 2003 Equity Incentive Plan and any or all amendments or post-effective amendments to the Form S-8 Registration Statement, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, each acting alone, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as the undersigned might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents, each acting alone, or their substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
In accordance with the requirements of the Securities Act of 1933, this Registration Statement was signed by the following persons in the capacities and on the date stated.
Signature | Title | Date | ||
/s/ Dale R. Olseth
Dale R. Olseth |
Chairman, Chief Executive Officer and Director (principal executive officer) |
March 21, 2005 | ||
/s/ Philip D. Ankeny
Philip D. Ankeny |
Vice President and Chief
Financial Officer (principal financial officer) |
March 21, 2005 |
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Signature | Title | Date | ||
/s/ Loren R. Miller
Loren R. Miller |
Vice President and Controller (principal accounting officer) |
March 21, 2005 | ||
/s/ Bruce J Barclay
Bruce J Barclay |
President, Chief Operating
Officer and Director |
March 21, 2005 | ||
/s/ Jose H. Bedoya
Jose H. Bedoya |
Director | March 21, 2005 | ||
/s/ John W. Benson
John W. Benson |
Director | March 21, 2005 | ||
/s/ Gerald B. Fischer
Gerald B. Fischer |
Director | March 21, 2005 | ||
/s/ Kenneth H. Keller
Kenneth H. Keller |
Director | March 21, 2005 | ||
/s/ David A. Koch
David A. Koch |
Director | March 21, 2005 | ||
/s/ Kendrick B. Melrose
Kendrick B. Melrose |
Director | March 21, 2005 | ||
/s/ John A. Meslow
John A. Meslow |
Director | March 21, 2005 |
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
EXHIBITS
to
Form S-8 Registration Statement
SurModics, Inc.
INDEX
Exhibit | ||
Number | Exhibit Description | |
5.1*
|
Opinion and Consent of Fredrikson & Byron, P.A. | |
23.1
|
Consent of Fredrikson & Byron, P.A. (included in Exhibit 5.1) | |
23.2*
|
Consent of Deloitte & Touche, LLP | |
24.1
|
Power of attorney (included on signature page of this Registration Statement) |
* | Filed herewith |
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