0001179110-12-001973.txt : 20120207 0001179110-12-001973.hdr.sgml : 20120207 20120207164559 ACCESSION NUMBER: 0001179110-12-001973 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120207 DATE AS OF CHANGE: 20120207 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARRETT THOMAS H III CENTRAL INDEX KEY: 0001233304 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 12578420 MAIL ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST. PAUL STATE: MN ZIP: 55117 5 1 edgar.xml FORM 5 - X0304 5 2011-12-31 0 0 1 0000203077 ST JUDE MEDICAL INC STJ 0001233304 GARRETT THOMAS H III ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 1 0 0 0 Common Stock 2011-05-02 4 M 0 L 10000 37.15 A 63759 D Common Stock 2011-05-02 4 M 0 L 12250 36.45 A 76009 D Common Stock 21690 I By Spouse Stock Option (Right to Buy) 37.15 2011-05-02 4 M 0 L 10000 0 D 2018-05-07 Common Stock 10000 0 D Stock Option ( Right to Buy) 36.45 2011-05-02 4 M 0 L 12250 0 D 2017-05-08 Common Stock 12250 0 D Fully vested. /s/ Kashif Rashid, Attorney in Fact 2012-02-07