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)
867773 10 0
- --------------------------------------------------------------------------------
(CUSIP Number)
December 31, 2007
- --------------------------------------------------------------------------------
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
|_| Rule 13d-1(b)
|_| Rule 13d-1(c)
|X| Rule 13d-1(d)
Page 2 of 4
CUSIP NO. 868873 10 0
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSON (ENTITIES ONLY).
David A. Koch
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) |_|
(b) |_|
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
839,583 (includes 24,000 shares which may be purchased upon
the exercise of options)
-----------------------------------------------------------------
NUMBER OF 6 SHARED VOTING POWER
SHARES
BENEFICIALLY 125,000
OWNED BY -----------------------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON 839,583 (includes 24,000 shares which may be purchased upon
the exercise of options)
WITH: -----------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
125,000
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
964,583 (includes 24,000 shares which may be purchased upon the exercise of
options)
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(SEE INSTRUCTIONS) |_|
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.28%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON
IN
- --------------------------------------------------------------------------------
Page 3 of 4
Item 1(a). Name of issuer: Surmodics, Inc.
Item 1(b). Address of issuer's principal executive offices:
9924 West 74th Street
Eden Prairie, MN 55344-3523
Item 2(a). Names of person filing: David A. Koch
Item 2(b). Address of principal business office: 505 N Highway 169
Suite 595
Plymouth, MN 55441
Item 2(c). Citizenship: USA
Item 2(d). Title of class of securities: Common Stock, $.05 par value
Item 2(e). CUSIP No.: 868873 10 0
Item 3. If this statement is filed pursuant to Secs. 240.13d-1(b) or
240.13d-2(b) or (c), check whether the person filing is a:
Not applicable
Item 4. Ownership
(a) Amount beneficially owned: 964,583 (includes 24,000 shares
which may be purchased upon the exercise of options)
(b) Percent of class: 5.28%
(c) Number of shares as to which the person has:
(i) Sole power to vote or to direct the vote: 839,583
(incudes 24,000 shares which may be purchased upon
exercise of options)
(ii) Shared power to vote or to direct the vote: 125,000
(iii) Sole power to dispose or to direct the disposition of:
839,583 (incudes 24,000 shares which may be purchased
upon exercise of options)
(iv) Shared power to dispose or to direct the disposition of:
125,000
Item 5. Ownership of 5 percent or Less of a Class: Not applicable.
Item 6. Ownership of More than 5 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. Certifications Not applicable.
Page 4 of 4
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.
Dated: March 12, 2008
/s/ David A. Koch
-------------------------------------
Signature
David A. Koch
-------------------------------------
Name/Title