0001127602-16-056429.txt : 20160628 0001127602-16-056429.hdr.sgml : 20160628 20160628140251 ACCESSION NUMBER: 0001127602-16-056429 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160624 FILED AS OF DATE: 20160628 DATE AS OF CHANGE: 20160628 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Medtronic plc CENTRAL INDEX KEY: 0001613103 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 FISCAL YEAR END: 0424 BUSINESS ADDRESS: STREET 1: 20 ON HATCH, LOWER HATCH STREET CITY: DUBLIN STATE: L2 ZIP: 2 BUSINESS PHONE: 01135314381700 MAIL ADDRESS: STREET 1: 20 ON HATCH, LOWER HATCH STREET CITY: DUBLIN STATE: L2 ZIP: 2 FORMER COMPANY: FORMER CONFORMED NAME: Medtronic Ltd DATE OF NAME CHANGE: 20150112 FORMER COMPANY: FORMER CONFORMED NAME: Medtronic Holdings Ltd DATE OF NAME CHANGE: 20140711 FORMER COMPANY: FORMER CONFORMED NAME: Kalani I Ltd DATE OF NAME CHANGE: 20140709 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON RICHARD H CENTRAL INDEX KEY: 0001200334 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36820 FILM NUMBER: 161735651 MAIL ADDRESS: STREET 1: MEDTRONIC, INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-06-24 0001613103 Medtronic plc MDT 0001200334 ANDERSON RICHARD H DELTA AIR LINES INC. 1040 DELTA BLVD ATLANTA GA 30354 1 Ordinary Shares 2016-06-24 4 M 0 1493 46.91 A 57160 D Ordinary Shares 2016-06-24 4 M 0 1010 52.84 A 58170 D Ordinary Shares 2016-06-24 4 M 0 1590 50.34 A 59760 D Ordinary Shares 2016-06-24 4 M 0 2671 29.96 A 62431 D Ordinary Shares 2016-06-24 4 M 0 1813 44.13 A 64244 D Ordinary Shares 2480 I By Ira Ordinary Shares 4800 I By Spouse Trust Ordinary Shares 25 I Cust/son Stock Option (Right to Buy) 46.91 2016-06-24 4 M 0 1493 0 D 2016-09-01 Ordinary Shares 1493 0 D Stock Option (Right to Buy) 52.84 2016-06-24 4 M 0 1010 0 D 2017-09-01 Ordinary Shares 1010 0 D Stock Option (Right to Buy) 50.34 2016-06-24 4 M 0 1590 0 D 2018-04-28 Ordinary Shares 1590 0 D Stock Option (Right to Buy) 29.96 2016-06-24 4 M 0 2671 0 D 2019-04-27 Ordinary Shares 2671 0 D Stock Option (Right to Buy) 44.13 2016-06-24 4 M 0 1813 0 D 2020-05-03 Ordinary Shares 1813 0 D This option to purchase 1,493 New Medtronic ordinary shares for $46.91 per share, which was fully vested at the effective time of the Merger, was received in the Merger and represents the conversion of 1,493 Medtronic common stock shares for $46.91 per share. This New Medtronic stock option has the same terms and conditions as the original Medtronic stock option. This option to purchase 1,010 New Medtronic ordinary shares for $52.84 per share, which was fully vested at the effective time of the Merger, was received in the Merger and represents the conversion of 1,010 Medtronic common stock shares for $52.84 per share. This New Medtronic stock option has the same terms and conditions as the original Medtronic stock option. This option to purchase 1,590 New Medtronic ordinary shares for $50.34 per share, which was fully vested at the effective time of the Merger, was received in the Merger and represents the conversion of 1,590 Medtronic common stock shares for $50.34 per share. This New Medtronic stock option has the same terms and conditions as the original Medtronic stock option. This option to purchase 2,671 New Medtronic ordinary shares for $29.96 per share, which was fully vested at the effective time of the Merger, was received in the Merger and represents the conversion of 2,671 Medtronic common stock shares for $29.96 per share. This New Medtronic stock option has the same terms and conditions as the original Medtronic stock option. This option to purchase 1,813 New Medtronic ordinary shares for $44.13 per share, which was fully vested at the effective time of the Merger, was received in the Merger and represents the conversion of 1,813 Medtronic common stock shares for $44.13 per share. This New Medtronic stock option has the same terms and conditions as the original Medtronic stock option. /s/ Sarah M. Maveus, Attorney-in-fact 2016-06-28