SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
COLLINS ARTHUR D JR

(Last) (First) (Middle)
MEDTRONIC, INC.
710 MEDTRONIC PARKWAY, N.E.

(Street)
MINNEAPOLIS MN 55432-5604

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
US BANCORP \DE\ [ USB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/02/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (1) (2) (2) Common Stock 2,586(3) 2,586 D
Non-Employee Director Stock Option (Right to Buy) $29.58 01/02/2004 A 11,125 (4) 01/02/2014 Common Stock 11,125 (5) 11,125 D
Non-Employee Director Stock Option (Right to Buy) $20.32(6) (7) 04/15/2013 Common Stock 1,535(6) 1,535 D
Non-Employee Director Stock Option (Right to Buy) $21.38(6) (8) 01/02/2013 Common Stock 12,283(6) 12,283 D
Non-Employee Director Stock Option (Right to Buy) $21.49(6) (9) 12/17/2012 Common Stock 7,249(6) 7,249 D
Non-Employee Director Stock Option (Right to Buy) $18.82(6) (10) 10/01/2012 Common Stock 805(6) 805 D
Non-Employee Director Stock Option (Right to Buy) $23.02(6) (11) 07/01/2012 Common Stock 1,384(6) 1,384 D
Non-Employee Director Stock Option (Right to Buy) $22.01(6) (12) 04/01/2012 Common Stock 1,259(6) 1,259 D
Non-Employee Director Stock Option (Right to Buy) $20.64(6) (13) 01/02/2012 Common Stock 9,212(6) 9,212 D
Non-Employee Director Stock Option (Right to Buy) $20.64(6) (13) 01/02/2012 Common Stock 8,658(6) 8,658 D
Non-Employee Director Stock Option (Right to Buy) $20.64(6) (13) 01/02/2012 Common Stock 2,265(6) 2,265 D
Non-Employee Director Stock Option (Right to Buy) $21.87(6) (14) 10/01/2011 Common Stock 1,007(6) 1,007 D
Non-Employee Director Stock Option (Right to Buy) $23.15(6) (15) 07/02/2011 Common Stock 881(6) 881 D
Non-Employee Director Stock Option (Right to Buy) $23.04(6) (16) 04/02/2011 Common Stock 881(6) 881 D
Non-Employee Director Stock Option (Right to Buy) $22.45(6) (17) 03/12/2011 Common Stock 7,400(6) 7,400 D
Non-Employee Director Stock Option (Right to Buy) $23.18(6) (18) 02/27/2011 Common Stock 15,102(6) 15,102 D
Non-Employee Director Stock Option (Right to Buy) $16.74(6) (19) 04/19/2010 Common Stock 6,495(6) 6,495 D
Non-Employee Director Stock Option (Right to Buy) $29.15(6) (19) 04/20/2009 Common Stock 6,495(6) 6,495 D
Non-Employee Director Stock Option (Right to Buy) $33.86(6) (19) 04/22/2008 Common Stock 6,495(6) 6,495 D
Non-Employee Director Stock Option (Right to Buy) $19(6) (19) 04/24/2007 Common Stock 6,495(6) 6,495 D
Non-Employee Director Stock Option (Right to Buy) $18.8(6) (19) 01/15/2007 Common Stock 1,013(6) 1,013 D
Non-Employee Director Stock Option (Right to Buy) $15.57(6) (19) 04/17/2006 Common Stock 5,731(6) 5,731 D
Non-Employee Director Stock Option (Right to Buy) $14.79(6) (19) 01/21/2006 Common Stock 9,552(6) 9,552 D
Explanation of Responses:
1. Restricted stock units convert into common stock on a one-for-one basis.
2. The restricted stock units vest in four equal annual installments beginning on December 17, 2003. Vested units are payable in common stock when the reporting person retires in accordance with the Company's director retirement policy.
3. Includes restricted stock units acquired in July and October pursuant to a dividend reinvestment feature of the reporting person's restricted stock unit award.
4. The option vests in four equal annual installments beginning on January 2, 2005.
5. Stock option acquired from issuer in lieu of $70,000 of cash compensation for 2004 director fees under the 2001 Executive Stock Incentive Plan.
6. The exercise price and number of shares subject to the option were adjusted to preserve the economic value of the option in connection with the spin-off of the company's Piper Jaffray subsidiary on December 31, 2003, by multiplying the number of shares subject to the option, and dividing the option price, by 1.0068.
7. The option vests in four equal annual installments beginning on April 15, 2004.
8. The option vests in four equal annual installments beginning on January 2, 2004.
9. The option vests in four equal annual installments beginning on December 17, 2003.
10. The option vests in four equal annual installments beginning on October 1, 2003.
11. The option vests in four equal annual installments beginning on July 1, 2003.
12. The option vests in four equal annual installments beginning on April 1, 2003.
13. The option vests in four equal annual installments beginning on January 2, 2003.
14. The option vests in four equal annual installments beginning on October 1, 2002.
15. The option vests in four equal annual installments beginning on July 2, 2002.
16. The option vests in four equal annual installments beginning on April 2, 2002.
17. The option vests in four equal annual installments beginning on March 12, 2002.
18. The option vests in four equal annual installments beginning on February 27, 2002.
19. The option was fully vested immediately after grant.
Remarks:
Lee R. Mitau for Arthur D. Collins, Jr. 01/06/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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