0001179110-12-002102.txt : 20120208 0001179110-12-002102.hdr.sgml : 20120208 20120208173250 ACCESSION NUMBER: 0001179110-12-002102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120206 FILED AS OF DATE: 20120208 DATE AS OF CHANGE: 20120208 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: 12583233 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 2012-02-06 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 2012-02-06 4 M 0 120000 41.84 A 139164 D Common Stock 2012-02-06 4 S 0 120000 43.18 D 19164 D Stock Option (Right to Buy) 41.84 2012-02-06 4 M 0 120000 0 D 2004-12-08 2012-12-08 Common Stock 120000 0 D The price in Column 4 is a weighted average. The price actually received ranged from $43.15 to $43.28. 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 2012-02-08