0001179110-16-032319.txt : 20161202 0001179110-16-032319.hdr.sgml : 20161202 20161202160944 ACCESSION NUMBER: 0001179110-16-032319 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161130 FILED AS OF DATE: 20161202 DATE AS OF CHANGE: 20161202 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: HEINMILLER JOHN C CENTRAL INDEX KEY: 0001233296 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 162031262 MAIL ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST. PAUL STATE: MN ZIP: 55117 4 1 edgar.xml FORM 4 - X0306 4 2016-11-30 0 0000203077 ST JUDE MEDICAL INC STJ 0001233296 HEINMILLER JOHN C ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 0 1 0 0 Executive Vice President Common Stock 2016-11-30 4 M 0 250000 30.58 A 487549 D Common Stock 2016-11-30 4 F 0 169644 79.20 D 317905 D Stock Options (Right to Buy) 30.58 2016-11-30 4 M 0 250000 0 D 2009-12-15 2016-12-15 Common Stock 250000 0 D Includes 338 additional shares acquired through the Company Employee Stock Purchase Plan on July 29, 2016. Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 250,000 shares acquired upon the option exercise, net of 169,664 shares used to pay exercise price and taxes, resulted in 80,356 shares that were retained. Fully vested at the time of filing. /s/ Kashif Rashid, Attorney in Fact 2016-12-02