0001179110-16-033104.txt : 20161216
0001179110-16-033104.hdr.sgml : 20161216
20161216162144
ACCESSION NUMBER: 0001179110-16-033104
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161214
FILED AS OF DATE: 20161216
DATE AS OF CHANGE: 20161216
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: Carlson Mark
CENTRAL INDEX KEY: 0001585645
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12441
FILM NUMBER: 162056556
MAIL ADDRESS:
STREET 1: ONE ST. JUDE MEDICAL DRIVE
CITY: ST. PAUL
STATE: MN
ZIP: 55117
4
1
edgar.xml
FORM 4 -
X0306
4
2016-12-14
0
0000203077
ST JUDE MEDICAL INC
STJ
0001585645
Carlson Mark
ONE ST. JUDE MEDICAL DRIVE
ST. PAUL
MN
55117
0
1
0
0
Chief Medical Off-VP,Clinical
Common Stock
2016-12-14
4
M
0
14200
30.58
A
22654
D
Common Stock
2016-12-14
4
F
0
8735
79.76
D
13919
D
Stock Options (Right to Buy)
30.58
2016-12-14
4
M
0
14200
0
D
2009-12-15
2016-12-15
Common Stock
14200
0
D
Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 14,200 shares acquired upon the option exercise, net of 8,735 shares used to pay exercise price and taxes, resulted in 5,465 shares that were retained.
Fully vested at the time of filing.
/s/ Kashif Rashid, Attorney in Fact
2016-12-16