0001179110-16-033189.txt : 20161219 0001179110-16-033189.hdr.sgml : 20161219 20161219160738 ACCESSION NUMBER: 0001179110-16-033189 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161215 FILED AS OF DATE: 20161219 DATE AS OF CHANGE: 20161219 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: Andrade Lisa CENTRAL INDEX KEY: 0001595202 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 162059028 MAIL ADDRESS: STREET 1: 6300 BEE CAVE ROAD, BLDG 2, SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78746 4 1 edgar.xml FORM 4 - X0306 4 2016-12-15 0 0000203077 ST JUDE MEDICAL INC STJ 0001595202 Andrade Lisa 6300 BEE CAVE ROAD BLDG 2, SUITE 100 AUSTIN TX 78746 0 1 0 0 VP and Chief Marketing Officer Common Stock 2016-12-15 4 M 0 1500 30.58 A 9155 D Common Stock 2016-12-15 4 F 0 828 79.88 D 8327 D Stock Options (Right to Buy) 30.58 2016-12-15 4 M 0 1500 0 D 2009-12-15 2016-12-15 Common Stock 1500 0 D Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 1,500 shares acquired upon the option exercise, net of 828 shares used to pay exercise price and taxes, resulted in 672 shares that were retained. Fully vested at the time of filing. /s/ Kashif Rashid, Attorney in Fact 2016-12-19