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