-----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, UtST4YW6eohRj3LoTxPaaqrTHY/46TX7KFD1jYUFwxrbadQTKocOkmPQeYAdDpRF Cy0+2HvhImNch/jA2d+xIg== 0000064670-04-000069.txt : 20041008 0000064670-04-000069.hdr.sgml : 20041008 20041008162952 ACCESSION NUMBER: 0000064670-04-000069 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20041001 FILED AS OF DATE: 20041008 DATE AS OF CHANGE: 20041008 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: CARLSON TERRANCE L CENTRAL INDEX KEY: 0001224119 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07707 FILM NUMBER: 041072520 BUSINESS ADDRESS: STREET 1: C/O PERKINELMER INC STREET 2: 45 WILLIAM STREET CITY: WELLESLEY STATE: MA ZIP: 02481 BUSINESS PHONE: 7814314273 3 1 doc.xml PRIMARY DOCUMENT X0202 3 2004-10-01 0 0000064670 MEDTRONIC INC MDT 0001224119 CARLSON TERRANCE L MEDTRONIC, INC. 710 MEDTRONIC PARKWAY, M.S. LC310 MINNEAPOLIS MN 55432-5604 0 1 0 0 Sr VP, Genl Counsel & Corp Sec Deferred Stock Units 40659 D Stock Options (Right to buy) 49.19 2014-07-21 Common Stock 60989 D These units are payable on or after retirement or other termination of employment. These options, with a grant date of 7/21/2004, become exercisable at the rate of 25% of the shares granted per year beginning on the first anniversary of grant. Terrance L. Carlson 2004-10-08 EX-24 2 powerofattorney.txt POWER OF ATTORNEY LETTER Power of Attorney I, Terrance L. Carlson, 710 Medtronic Parkway, Minneapolis, MN 55432-5604 do hereby appoint each of: Gary A. Nelson, Vice President, Risk Management and Legal Administrative Services, Medtronic, Inc., 710 Medtronic Parkway, Minneapolis, MN 55432-5604 Neil P. Ayotte, Senior Legal Counsel, Medtronic, Inc., 710 Medtronic Parkway, Minneapolis, MN 55432-5604 As attorney-in-fact in my name, place and stead to act individually in any way which I myself could do, if I were personally present, with respect to the filing of reports as required under Section 16(a) of the Securities Exchange Act of 1934, including Forms 3, 4 and 5, and under Rule 144 of the Securities Act of 1933. In Witness Whereof, I have hereunder set my name this 8th day of October, 2004. /s/ Terrance L. Carlson Terrance L. Carlson Specimen Signature of Attorney(s)-in-Fact /s/ Gary A. Nelson Gary A. Nelson /s/ Neil P. Ayotte Neil P. Ayotte STATE OF MINNESOTA ) COUNTY OF ANOKA ) The foregoing instrument was acknowledged before me this 8th day of October, 2004. /s/ Anne M. Ziebell Notary Public -----END PRIVACY-ENHANCED MESSAGE-----