-----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, I4o8eowDHyJyta+sXLNJqSC+jZfQDXmm9OSCoBK3iK74QsIDhIAlp3XIo4vf0kDy lcSLL0FRFem9ym09aMLcPw== 0000064670-04-000075.txt : 20041025 0000064670-04-000075.hdr.sgml : 20041025 20041025154820 ACCESSION NUMBER: 0000064670-04-000075 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20041021 FILED AS OF DATE: 20041025 DATE AS OF CHANGE: 20041025 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: BALAGNA JEFFREY A CENTRAL INDEX KEY: 0001145145 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07707 FILM NUMBER: 041094037 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 doc.xml PRIMARY DOCUMENT X0202 4 2004-10-21 0000064670 MEDTRONIC INC MDT 0001145145 BALAGNA JEFFREY A MEDTRONIC, INC. 710 MEDTRONIC PARKWAY, M.S. LC310 MINNEAPOLIS MN 55432-5604 0 1 0 0 Sr VP & Chief Info Officer Common Stock 21089 D Deferred Stock Units 402.3 D Common Stock 414.417 I By 401(k) Plan Common Stock 760.117 I By ESOP Stock Options (Right to buy) 50 2004-10-21 4 A 0 36000 0 A 2004-10-21 2014-10-21 Common Stock 36000 36000 D These options become exercisable at the rate of 25% per year beginning with the first anniversary of the grant. Gary A. Nelson, Attorney-in-fact 2004-10-25 EX-24 2 powerofattorney.txt POWER OF ATTORNEY LETTER Power of Attorney I, Jeffrey Balagna, 710 Medtronic Parkway, Minneapolis, MN 55432-5604 do hereby appoint each of: Terrance L. Carlson, Senior Vice President, General Counsel and Corporate Secretary, Medtronic, Inc., 710 Medtronic Parkway, Minneapolis, MN 55432-5604 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 21st day of October, 2004. /s/ Jeffrey Balagna Jeffrey Balagna Specimen Signature of Attorney(s)-in-Fact /s/ Terrance L. Carlson Terrance L. Carlson /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 21st day of October, 2004. /s/ Anne M. Ziebell Notary Public -----END PRIVACY-ENHANCED MESSAGE-----