0001179110-16-032943.txt : 20161214
0001179110-16-032943.hdr.sgml : 20161214
20161214160928
ACCESSION NUMBER: 0001179110-16-032943
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161212
FILED AS OF DATE: 20161214
DATE AS OF CHANGE: 20161214
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: STARKS DANIEL J
CENTRAL INDEX KEY: 0000902132
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12441
FILM NUMBER: 162051229
MAIL ADDRESS:
STREET 1: ONE ST JUDE MEDICAL DRIVE
CITY: ST PAUL
STATE: MN
ZIP: 55117
4
1
edgar.xml
FORM 4 -
X0306
4
2016-12-12
0
0000203077
ST JUDE MEDICAL INC
STJ
0000902132
STARKS DANIEL J
ONE ST. JUDE MEDICAL DRIVE
ST. PAUL
MN
55117
1
0
0
0
Common Stock
2016-12-12
4
M
0
500000
30.58
A
6628215
D
Common Stock
2016-12-12
4
F
0
328794
80.20
D
6299421
D
Stock Options (Right to Buy)
30.58
2016-12-12
4
M
0
500000
0
D
2009-12-15
2016-12-15
Common Stock
500000
0
D
Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 500,000 shares acquired upon the option exercise, net of 328,794 shares used to pay exercise price and taxes, resulted in 171,206 shares that were retained.
Fully vested at the time of filing.
/s/ Kashif Rashid, Attorney in Fact
2016-12-14