0001179110-16-033192.txt : 20161219
0001179110-16-033192.hdr.sgml : 20161219
20161219161002
ACCESSION NUMBER: 0001179110-16-033192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121215
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: ROUSSEAU MICHAEL T
CENTRAL INDEX KEY: 0001233677
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12441
FILM NUMBER: 162059062
MAIL ADDRESS:
STREET 1: ONE ST JUDE MEDICAL DRIVE
CITY: ST. PAUL
STATE: MN
ZIP: 55117
4
1
edgar.xml
FORM 4 -
X0306
4
2012-12-15
1
0000203077
ST JUDE MEDICAL INC
STJ
0001233677
ROUSSEAU MICHAEL T
ONE ST. JUDE MEDICAL DRIVE
ST. PAUL
MN
55117
1
1
0
0
Director, President and CEO
Common Stock
2012-12-15
4
M
0
50000
30.58
A
50000
I
Family Trust
Common Stock
2012-12-15
4
F
0
30382
79.88
D
19618
I
Family Trust
Common Stock
31822
D
Stock Options (Right to Buy)
30.58
2016-10-18
5
G
0
E
50000
0
D
2009-12-15
2016-12-15
Common Stock
50000
0
D
Stock Options (Right to Buy)
30.58
2016-10-18
5
G
0
E
50000
0
A
2009-12-15
2016-12-15
Common Stock
50000
50000
I
Family Trust
Stock Options (Right to Buy)
30.58
2016-12-15
4
M
0
50000
0
D
2009-12-15
2016-12-15
Common Stock
50000
0
I
Family Trust
Stock Options (Right to Buy)
30.59
2016-10-18
5
G
0
E
182000
0
D
2010-12-14
2017-12-14
Common Stock
182000
0
D
Stock Options (Right to Buy)
30.59
2016-10-18
5
G
0
E
182000
0
A
2010-12-14
2017-12-14
Common Stock
182000
182000
I
Family Trust
Stock Options (Right to Buy)
41.65
2016-10-18
5
G
0
E
204000
0
D
2011-12-14
2018-12-14
Common Stock
204000
0
D
Stock Options (Right to Buy)
41.65
2016-10-18
5
G
0
E
204000
0
A
2011-12-14
2017-12-14
Common Stock
204000
204000
I
Family Trust
Stock Options (Right to Buy)
34.96
2016-10-18
5
G
0
E
300000
0
D
2012-12-17
2019-12-12
Common Stock
300000
0
D
Stock Options (Right to Buy)
34.96
2016-10-18
5
G
0
E
300000
0
A
2012-12-17
2019-12-12
Common Stock
300000
300000
I
Family Trust
Stock Options (Right to Buy)
35.27
2016-10-18
5
G
0
E
183750
0
D
2013-12-17
2020-12-10
Common Stock
245000
61250
D
Stock Options (Right to Buy)
35.27
2016-10-18
5
G
0
E
183750
0
A
2013-12-17
2020-12-10
Common Stock
183750
183750
I
Family Trust
Stock Options (Right to Buy)
59.41
2016-10-18
5
G
0
E
74570
0
D
2014-12-17
2021-12-10
Common Stock
149140
74570
D
Stock Options (Right to Buy)
59.41
2016-10-18
5
G
0
E
74570
0
A
2014-12-17
2021-12-10
Common Stock
74570
74570
I
Family Trust
Stock Options (Right to Buy)
69.08
2016-10-18
5
G
0
E
36148
0
D
2015-12-17
2022-12-08
Common Stock
144592
108444
D
Stock Options (Right to Buy)
69.08
2016-10-18
5
G
0
E
36148
0
A
2015-12-17
2022-12-08
Common Stock
36148
36148
I
Family Trust
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.
Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 50,000 shares acquired upon the option exercise, net of 30,382 shares used to pay exercise price and taxes, resulted in 19,618 shares that were retained.
Includes 338 additional shares acquired through the Company Employee Stock Purchase Plan on 7/29/16.
Fully vested at the time of filing.
The option shares vest 25% on each of the first four anniversary dates of the date of the grant beginning on the date shown.
/s/ Kashif Rashid, Attorney in Fact
2016-12-19