0001179110-15-006728.txt : 20150428 0001179110-15-006728.hdr.sgml : 20150428 20150428163314 ACCESSION NUMBER: 0001179110-15-006728 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150103 FILED AS OF DATE: 20150428 DATE AS OF CHANGE: 20150428 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: Zellers Jason CENTRAL INDEX KEY: 0001532763 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 15799061 MAIL ADDRESS: STREET 1: ONE ST. JUDE MEDICAL DRIVE CITY: ST. PAUL STATE: MN ZIP: 55117 5 1 edgar.xml FORM 5 - X0306 5 2015-01-03 0 0 1 0000203077 ST JUDE MEDICAL INC STJ 0001532763 Zellers Jason ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 0 1 0 0 VP, General Counsel & Corp Sec Common Stock 2013-12-14 4 M 0 L 63 A 557 I By Spouse Common Stock 2013-12-14 4 F 0 L 22 57.99 D 535 I By Spouse Common Stock 2013-12-17 4 M 0 L 54 A 589 I By Spouse Common Stock 2013-12-17 4 F 0 L 19 59.42 D 570 I By Spouse Common Stock 2013-12-17 4 M 0 L 63 A 633 I By Spouse Common Stock 2013-12-17 4 F 0 L 22 59.42 D 611 I By Spouse Common Stock 2014-12-14 4 M 0 L 63 A 553 I By Spouse Common Stock 2014-12-14 4 F 0 L 22 66.33 D 531 I By Spouse Common Stock 2014-12-17 4 M 0 L 54 A 585 I By Spouse Common Stock 2014-12-17 4 F 0 L 19 65.61 D 566 I By Spouse Common Stock 2014-12-17 4 M 0 L 63 A 629 I By Spouse Common Stock 2014-12-17 4 F 0 L 22 65.61 D 607 I By Spouse Common Stock 2014-12-17 4 M 0 L 52 A 659 I By Spouse Common Stock 2014-12-17 4 F 0 L 18 65.61 D 641 I By Spouse Common Stock 9091 D Restricted Stock Units 2013-12-14 4 M 0 L 63 0 D 2011-12-14 Common Stock 126 63 I By Spouse Restricted Stock Units 2013-12-17 4 M 0 L 54 0 D 2012-12-17 Common Stock 162 108 I By Spouse Restricted Stock Units 2013-12-17 4 M 0 L 63 0 D 2013-12-17 Common Stock 252 189 I By Spouse Restricted Stock Units 2014-12-14 4 M 0 L 63 0 D 2011-12-14 Common Stock 63 0 I By Spouse Restricted Stock Units 2014-12-17 4 M 0 L 54 0 D 2012-12-17 Common Stock 108 54 I By Spouse Restricted Stock Units 2014-12-17 4 M 0 L 63 0 D 2013-12-17 Common Stock 189 126 I By Spouse Restricted Stock Units 2014-12-17 4 M 0 L 52 0 D 2014-12-17 Common Stock 208 156 I By Spouse Each restricted stock unit represents a contingent right to receive one share of the Company's common stock. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. 63 shares of restricted stock vested on December 14, 2013. 22 shares were used to pay taxes and 41 shares were released. 54 shares of restricted stock vested on December 17, 2013. 19 shares were used to pay taxes and 35 shares were released. 63 shares of restricted stock vested on December 17, 2013. 22 shares were used to pay taxes and 41 shares were released. 63 shares of restricted stock vested on December 14, 2014. 22 shares were used to pay taxes and 41 shares were released. 54 shares of restricted stock vested on December 17, 2014. 19 shares were used to pay taxes and 35 shares were released. 63 shares of restricted stock vested on December 17, 2014. 22 shares were used to pay taxes and 41 shares were released. 52 shares of restricted stock vested on December 17, 2014. 18 shares were used to pay taxes and 34 shares were released. This form 5 is for the 2014 fiscal year end adjusting the totals to reflect an amended form 4 and late reporting of restricted stock vests. The restricted stock units vest 25% on each of the first four anniversary dates of the date of the grant beginning on the date shown. The restricted stock units will vest 25% on December 17th annually beginning the date shown. Fully vested at the time of filing. /s/ Kashif Rashid, Attorney in Fact 2015-04-28