-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HSp9dAbgaaijSasxWU7hkqzRwCI5UJNAgsxyJmwFgAFb+424t16OqbRcpX8fWuuo NDrzf1FoN+ZlICJ+9rUOOA== 0000064670-02-000015.txt : 20020415 0000064670-02-000015.hdr.sgml : 20020415 ACCESSION NUMBER: 0000064670-02-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020331 FILED AS OF DATE: 20020405 COMPANY DATA: COMPANY CONFORMED NAME: GOTTO ANTONIO M JR MD D PHIL CENTRAL INDEX KEY: 0001145158 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 BUSINESS PHONE: 7635144000 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDTRONIC INC CENTRAL INDEX KEY: 0000064670 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 410793183 STATE OF INCORPORATION: MN FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07707 FILM NUMBER: 02603131 BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY STREET 2: MS LC300 CITY: MINNEAPOLIS STATE: MN ZIP: 55432 BUSINESS PHONE: 7635144000 4 1 gottomarch02form4.txt ANTONIO GOTTO M.D. D. PHIL. MARCH 2002 FORM 4 1. Name and Address of Reporting Person Gotto, Jr., M.D., Antonio M. Cornell Univ. Medical College 1300 York Avenue New York, NY 10021 2. Issuer Name and Ticker or Trading Symbol Medtronic, Inc. (MDT) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 3/2002 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. 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 |2. Trans- |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Owner- |7. Nature | | | action | action | or Disposed of (D) | Securities | ship | of In- | | | Date | Code | | Beneficially | Form: | direct | | | | | | Owned at | Direct | Bene- | | | (Month/ | | | End of | (D) or | ficial | | | Day/ +-------+-----+-----------+------+----------+ Month | Indirect| Owner- | | | Year) |Code |V |Amount |A/D |Price | | (I) | ship | +---------------------------------+----------+-------+-----+-----------+------+----------+----------------+-----------+------------+ Common Stock 03/01/2002 M 2986 A $5.0938 D Common Stock 03/01/2002 F -2986 D $44.2300 D Common Stock 03/05/2002 P 275 A $44.5400 D Common Stock 03/05/2002 M 778 A $5.1172 D Common Stock 03/05/2002 F -778 D $44.4200 16268.561 D
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+-------------+--------+----------+---------+-----------+---------------------+----------------+----------+--------+-------+-------+ |1. |2. |3. |4. |5. |6. |7. |8. |9. |10. |11. | | | | | | | | | |Number |Owner- | | | | | | | | | | |of |ship | | | | | | | | | | |Deriv- |Form of| | | | | | | | |Title and Amount| |ative |Deriv- | | | | | | | | |of Underlying | |Secur- |ative |Nature | | |Conver- | | |Number of | |Securities | |ities |Secur- |of | | |sion or | | |Derivative |Date Exercisable +-------+--------+ |Benefi- |ity: |In- | | |Exercise| | |Securities |and Expiration Date | |Amount | |cially |Direct |direct | | |Price of|Transac- |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |tion Date |tion Code|Disposed(D)+----------+----------+ |Number |Price of |at End |In- |ficial | |Derivative |ative |(Month/ +------+--+-----+-----+Date Exer-|Expira- | |of |Derivative|of |direct |Owner- | |Security |Security|Day/Year) |Code |V |(A) |(D) |cisable |tion Date |Title |Shares |Security |Month |(I) |ship | +-------------+--------+----------+------+--+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+ Director St $5.0938 03/01/2002 M 25920 03/04/1993 03/04/2002 Common 25920 $0.0000 0 D Opt (Right to Stock Buy) Director St $5.1172 03/05/2002 M 6752 08/26/1993 08/26/2002 Common 6752 $0.0000 0 D Opt (Right to Stock Buy) Right to $0 03/01/2002 M 22934 08/24/2006 08/24/2006 Common 22934 $0.0000 D Receive Stock Stock Right to $0 03/05/2002 M 5974 08/24/2006 08/24/2006 Common 5974 $0.0000 28908 D Receive Stock Stock Explanation of Responses: The reporting person elected to defer receipt of 22,934 shares of common stock issuable upon exercise of this option, resulting in the accrual to his account of 22,934 units representing the right to receive stock on a 1:1 basis. The reporting person elected to defer recipt of 5,974 shares of common stock issuable upon exercise of this option, resulting in the accrual to his account of 5,974 units representing the right to receive stock on a 1:1 basis.
SIGNATURE OF REPORTING PERSON /s/ Antonio M. Gotto, Jr., M.D. DATE 04/05/2002 -----END PRIVACY-ENHANCED MESSAGE-----