-----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, KyaYO1bekc2lmDUr/t1UTdWhBtV8PSvtja6r49N+p/8YVTDaAaSpYX7cEVJEHFrl nwFdKO8K3iOxLDVfqEOVOA== 0000064670-02-000057.txt : 20020819 0000064670-02-000057.hdr.sgml : 20020819 20020816181018 ACCESSION NUMBER: 0000064670-02-000057 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020427 FILED AS OF DATE: 20020819 COMPANY DATA: COMPANY CONFORMED NAME: DEMANE MICHAEL F CENTRAL INDEX KEY: 0001174533 OFFICER FILING VALUES: FORM TYPE: 3/A BUSINESS ADDRESS: STREET 1: METRONIC INC STREET 2: 710 MEDTRONIC PARKWAY 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: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-07707 FILM NUMBER: 02741837 BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY STREET 2: MS LC300 CITY: MINNEAPOLIS STATE: MN ZIP: 55432 BUSINESS PHONE: 7635144000 3/A 1 demaneform3amend.txt MICHAEL DEMANE FORM 3 AMENDED 1. Name and Address of Reporting Person DeMane, Michael F. Medtronic, Inc. 710 Medtronic Pkwy Minneapolis, MN 55432- 2. Date of Event Requiring Statement (Month/Day/Year) 04/27/2002 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol Medtronic, Inc. (MDT) 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Sr. Vice President & President, Spinal, ENT, & SNT 6. If Amendment, Date of Original (Month/Day/Year) 05/06/2002 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 Beneficially Owned
+------------------------------------------+----------------------+----------------+-----------------------------------------------+ |1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect Beneficial Ownership | | | Securities | Form: | | | | Beneficially Owned | Direct(D) or | | | | | Indirect(I) | | +------------------------------------------+----------------------+----------------+-----------------------------------------------+ Common Stock 42951.721 D Common Stock 536.172 I By ESOP
TABLE II -- Derivative Securities Beneficially Owned
+-----------------------+---------------------+---------------------------------+----------+-------------+-------------------------+ |1.Title of Derivative |2.Date Exercisable |3.Title and Amount of Securities |4.Conver- |5.Ownership |6. Nature of Indirect | | Security | and Expiration Date| Underlying Derivative | sion or | Form of | Beneficial Ownership | | | (Month/Day/Year) | Security | Exercise | Derivative | | | +----------+----------+-----------------------+---------+ Price of | Security: | | | | Date | Expira- | |Amount or| Deri- | Direct(D) or| | | | Exer- | tion | Title |Number of| vative | Indirect(I) | | | | cisable | Date | |Shares | Security | | | +-----------------------+----------+----------+-----------------------+---------+----------+-------------+-------------------------+ Stock Options (Right to 01/27/1999 09/01/2008 Common Stock 165318 $23.8407 D buy) Stock Options (Right to 05/28/2000 05/28/2009 Common Stock 62500 $32 D buy) Stock Options (Right to 10/27/2000 10/27/2009 Common Stock 6091 $33.125 D buy) Stock Options (Right to 01/27/2000 01/27/2009 Common Stock 4138 $36.25 D buy) Stock Options (Right to 10/25/2002 10/25/2011 Common Stock 32184 $43.5 D buy) Stock Options (Right to 10/26/2001 10/26/2010 Common Stock 19371 $51.625 D buy) Stock Options (Right to 03/17/2001 03/17/2010 Common Stock 5694 $52.6875 D buy) Stock Options (Right to 08/09/2001 08/09/2010 Common Stock 8889 $56.25 D buy) Right to Receive Stock Common Stock 715.556 $0 D Explanation of Responses: These options become exercisable at the rate of 25% of the shares granted per year beginning on the first anniversary of grant. Rights acquired under the Medtronic, Inc. Executive Non-qualified Supplemental Benefit Plan to be settled in Medtronic common stock as a 1-for-1 conversion upon the employee's retirement or other termination of employment.
SIGNATURE OF REPORTING PERSON /s/ Michael F. DeMane DATE 08/14/2002
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