0001179110-11-014724.txt : 20111102 0001179110-11-014724.hdr.sgml : 20111102 20111102165254 ACCESSION NUMBER: 0001179110-11-014724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111031 FILED AS OF DATE: 20111102 DATE AS OF CHANGE: 20111102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zellers Jason CENTRAL INDEX KEY: 0001532763 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 111175079 MAIL ADDRESS: STREET 1: ONE ST. JUDE MEDICAL DRIVE CITY: ST. PAUL STATE: MN ZIP: 55117 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ST JUDE MEDICAL INC CENTRAL INDEX KEY: 0000203077 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411276891 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST PAUL STATE: MN ZIP: 55117 BUSINESS PHONE: 6517562000 MAIL ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST PAUL STATE: MN ZIP: 55117 4 1 edgar.xml FORM 4 - X0304 4 2011-10-31 0 0000203077 ST JUDE MEDICAL INC STJ 0001532763 Zellers Jason ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 0 1 0 0 VP & General Counsel Restricted Stock Units 2011-10-31 4 A 0 3500 0 A 2012-10-31 Common Stock 3500 3500 D Each restricted stock unit represents a contingent right to receive one share of the Company's common stock. The restricted stock units will vest 25% on each of the first four anniversary dates of the date of the grant beginning the date shown. /s/ Kashif Rashid, Attorney in Fact 2011-11-02