0001179110-11-016604.txt : 20111214 0001179110-11-016604.hdr.sgml : 20111214 20111214163824 ACCESSION NUMBER: 0001179110-11-016604 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111212 FILED AS OF DATE: 20111214 DATE AS OF CHANGE: 20111214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KHOSRAVI BEHZAD CENTRAL INDEX KEY: 0001469271 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 111261418 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 2011-12-12 0 0000203077 ST JUDE MEDICAL INC STJ 0001469271 KHOSRAVI BEHZAD ONE ST. JUDE MEDICAL DRIVE ST PAUL MN 55117 0 1 0 0 VP, Global Quality Stock Option (Right to Buy) 34.96 2011-12-12 4 A 0 39996 0 A 2012-12-17 2019-12-12 Common Stock 39996 39996 D Restricted Stock Units 2011-12-12 4 A 0 5192 0 A 2012-12-17 Common Stock 5192 5192 D The option shares will vest 25% on December 17th annually beginning the date shown. 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 December 17th annually beginning the date shown. Kashif Rashid, Attorney in Fact 2011-12-14