-----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, UCuDJJ3NMtIfBIP1f86dkEU/FdETsDImEc8lM1JM4w+FfxSvOcbsRzEyHG47GrBW lhn60hOShthBYrahrca10A== 0000064670-04-000005.txt : 20040113 0000064670-04-000005.hdr.sgml : 20040113 20040113161603 ACCESSION NUMBER: 0000064670-04-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040112 FILED AS OF DATE: 20040113 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY STREET 2: MS LC300 CITY: MINNEAPOLIS STATE: MN ZIP: 55432 BUSINESS PHONE: 7635144000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT DAVID J CENTRAL INDEX KEY: 0001145154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07707 FILM NUMBER: 04522929 BUSINESS ADDRESS: STREET 1: MEDTRONIC INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 BUSINESS PHONE: 7635144000 MAIL ADDRESS: STREET 1: MEDTRONIC INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 4 1 c0001145154d20040113f4f.xml PRIMARY DOCUMENT X0201 42004-01-1210000064670MEDTRONIC INC MDT0001145154SCOTT DAVID JMEDTRONIC, INC.710 MEDTRONIC PARKWAYMINNEAPOLISMN55432-56040100Sr VP, Genl Counsel & Corp SecCommon Stock2004-01-124M02780235.9688A30130.25DCommon Stock2004-01-124M01668235.9688A46812.25DCommon Stock2004-01-124M03018933.125A77001.25DCommon Stock2004-01-124M01663544.25A93636.25DCommon Stock2004-01-124M02528743.5A118923.25D Common Stock2004-01-124M01904143.81A137964.25DCommon Stock2004-01-124M01114344.87A149107.25DCommon Stock2004-01-124F0877948.6204D140328.25D Common Stock2004-01-124S03900048.73D101328.25DCommon Stock2004-01-124S0200048.72D99328.25DCommon Stock2004-01-124S02700048.7D72328.25DCommon St ock2004-01-124S0500048.6D67328.25DCommon Stock< /securityTitle>2004-01-124S0200048.58D65328.25DCommon Stock2004-01-124S0500048.57D60328.25DCommon Stock2004-01-124S0500048.56D55328.25DCommon Stock< value>2004-01-124S01000048.55D45328.25DCommon Stock2004 - -01-124S04300048.5D2328.25DCommon Stock56IBy spouse as cust for sonCommon Stock1001.61IBy ESOPDeferred Stock Units738.066DStock Options (Right to buy)43.52004-01-124M0252870D2002-10-252011-10-25Common Stock2528725288DStock Options (Right to buy)43.812004-01-124M0190410< transactionAcquiredDisposedCode>D2002-04-262012-04-26Common Stock190410DStock Options (Right to buy)44.252004-01-124M0166350D2001-04-272011-04-27Common Stock166350DStock Options (Right to buy)44.872004-01-124M0111430D2003-10-242012-10-24Common Stock11143< sharesOwnedFollowingTransaction>33431DEmployee St Opt (Right to Buy)33.1252004-01-124M0301890D2000-10-272009-10-27Common Stock301890DEmployee St Opt (Right to Buy)362004-01-124M0278020D2000-05-032009-05-03Common Stock2780216682DEmployee St Opt (Right to Buy)362004-01-124M0166820D1999-05-032009-05-03Common Stock166820DIncludes 542 shares acquired under the 1995 Employees Stock Purchase Plan on November 1, 2003.These options become exercisable at the rate of 25% of the shares granted per year beginning on the first anniversary of grant.Carol E. Malkinson, Attorney-in-fact2004-01-13 -----END PRIVACY-ENHANCED MESSAGE-----