0001179110-12-017415.txt : 20121212 0001179110-12-017415.hdr.sgml : 20121212 20121212163309 ACCESSION NUMBER: 0001179110-12-017415 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: ROUSSEAU MICHAEL T CENTRAL INDEX KEY: 0001233677 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 121259513 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 0001233677 ROUSSEAU MICHAEL T ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 0 1 0 0 Group President Common Stock 19717 D Stock Option (Right to Buy) 35.27 2012-12-10 4 A 0 245000 0 A 2013-12-17 2020-12-10 Common Stock 245000 245000 D Restricted Stock Units 2012-12-10 4 A 0 32000 0 A 2012-12-17 Common Stock 32000 32000 D The option shares will vest 25% on December 17th annually beginning the date shown. Includes 553 additional shares acquired through the Company Employee Stock Purchase Plan as of 7/31/12. 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. /s/ Kashif Rashid, Attorney in Fact 2012-12-12