0001179110-12-017409.txt : 20121212 0001179110-12-017409.hdr.sgml : 20121212 20121212163121 ACCESSION NUMBER: 0001179110-12-017409 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121210 FILED AS OF DATE: 20121212 DATE AS OF CHANGE: 20121212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ellingson Rachel CENTRAL INDEX KEY: 0001557271 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 121259493 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 - X0306 4 2012-12-10 0 0000203077 ST JUDE MEDICAL INC STJ 0001557271 Ellingson Rachel ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 0 1 0 0 VP, Corporate Relations Restricted Stock Units 2012-12-10 4 A 0 2792 0 A 2013-12-17 Common Stock 2792 2792 D Stock Option (Right to Buy) 35.27 2012-12-10 4 A 0 22332 0 A 2013-12-17 2020-12-10 Common Stock 22332 22332 D Each restricted stock unit represents a contingent right to receive one share of the Company's common stock The restricted stock units vest 25% on each of the first four anniversary dates of the date of the grant beginning the date shown. The option shares will vest 25% on December 17th annually beginning the date shown. /s/ Kashif Rashid, Attorney in Fact 2012-12-12