SEC Form 4 · accession 0001179110-15-001919
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Scott Thome
Officer — VP, Global Ops & Supply Chain
Period of report
Feb 3, 2015
Accepted (ET)
Feb 5, 2015 · 4:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000203077
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 3, 2015 | M | 6,666 | $34.96 | A | 8,617 | D | |
| Common StockF1 | Feb 3, 2015 | S | 6,666 | $67.94 | D | 1,951 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy)F2 | $34.96 | Feb 3, 2015 | M | 6,666 | D | Dec 17, 2012 | Dec 12, 2019 | Common Stock | 9,999 | 3,333 | D |
Explanation of responses
- F1The price in Column 4 is a weighted average. The prices actually received ranged from $67.93 to $67.96. The reporting person will provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, information regarding the number of shares sold at each price within the range.
- F2The option shares will vest 25% on December 17th annually beginning the date shown.