0001179110-11-016526.txt : 20111213 0001179110-11-016526.hdr.sgml : 20111213 20111213162309 ACCESSION NUMBER: 0001179110-11-016526 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111207 FILED AS OF DATE: 20111213 DATE AS OF CHANGE: 20111213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROUSSEAU MICHAEL T CENTRAL INDEX KEY: 0001233677 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 111258784 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 2011-12-07 0 0000203077 ST JUDE MEDICAL INC STJ 0001233677 ROUSSEAU MICHAEL T ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 0 1 0 0 Group President Common Stock 2011-12-07 4 M 0 75000 30.95 A 94529 D Common Stock 2011-12-07 4 S 0 75000 36.61 D 19529 D Stock Option (Right to Buy) 30.95 2011-12-07 4 M 0 75000 0 D 2004-12-08 2011-12-08 Common Stock 75000 0 D Includes 679 shares acquired through the Company Employee Stock Purchase Plan as of 7/29/11. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 sales plan adopted by the reporting person on November 3, 2011. The price in Column 4 is a weighted average. The price actually received ranged from $36.56 to $36.70. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range /s/ Kashif Rashid, Attorney in Fact 2011-12-09