-----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, OcjZcpRbsJeqU0eQJShySZKOb2h68WjqAZPUFdw2Ci/wuimk7iL8oPyrvEJcgcLd CmzKresy04RChWjTeFMVig== 0000064670-05-000054.txt : 20050902 0000064670-05-000054.hdr.sgml : 20050902 20050902153454 ACCESSION NUMBER: 0000064670-05-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050831 FILED AS OF DATE: 20050902 DATE AS OF CHANGE: 20050902 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: BONSIGNORE MICHAEL R CENTRAL INDEX KEY: 0001012982 STANDARD INDUSTRIAL CLASSIFICATION: AUTO CONTROLS FOR REGULATING RESIDENTIAL & COMML ENVIRONMENT [3822] STATE OF INCORPORATION: DE FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07707 FILM NUMBER: 051067858 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: MINEAPOLIS STATE: MN ZIP: 55432-5604 4 1 doc.xml PRIMARY DOCUMENT X0202 4 2005-08-31 0000064670 MEDTRONIC INC MDT 0001012982 BONSIGNORE MICHAEL R HONEYWELL INTERNATIONAL 101 COLUMBIA RD MORRISTOWN NJ 07962-1057 1 0 0 0 Common Stock 2005-08-31 4 A 0 1113.975 0 A 5702.319 D Common Stock 1534 I By IRA Account Common Stock 9400 I By Michael Bonsignore Trust Stock Options (Right to buy) 57 2005-08-31 4 A 0 4667 0 A 2005-08-31 2015-08-31 Common Stock 4667 4667 D Stock Options (Right to buy) 56.99 2005-09-01 4 A 0 1229 0 A 2005-09-01 2015-09-01 Common Stock 1229 1229 D This balance includes 5702.319 total deferred stock units payable on or after retirement or resignation. Deferred units credited under the Medtronic, Inc. Outside Director's Compensation Plan to be paid in Medtronic common stock upon the director's resignation or retirement. Neil P. Ayotte, Attorney-in-fact 2005-09-02 -----END PRIVACY-ENHANCED MESSAGE-----