SEC Form 4 · accession 0001179110-15-006729
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jason Zellers
Officer — VP, General Counsel & Corp Sec
Period of report
Apr 24, 2015
Accepted (ET)
Apr 28, 2015 · 4:33 pm EDT
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 StockF1,F2 | Apr 24, 2015 | S | 683 | $74.01 | D | 0 | I | By Spouse |
| Common StockF3 | Apr 24, 2015 | M | 1,532 | $38.59 | A | 1,532 | I | By Spouse |
| Common StockF3 | Apr 24, 2015 | M | 416 | $34.96 | A | 1,948 | I | By Spouse |
| Common StockF3 | Apr 24, 2015 | M | 502 | $35.27 | A | 2,450 | I | By Spouse |
| Common StockF3 | Apr 24, 2015 | M | 433 | $59.41 | A | 2,883 | I | By Spouse |
| Common Stock | Apr 24, 2015 | S | 2,883 | $74.16 | D | 0 | I | By Spouse |
| Common Stock | holding | — | — | — | 9,091 | 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)F4 | $41.65 | Apr 24, 2015 | M | 1,532 | D | Dec 14, 2011 | Dec 14, 2018 | Common Stock | 1,532 | 0 | I |
| Stock Options (Right to Buy)F3,F5 | $34.96 | Apr 24, 2015 | M | 416 | D | Dec 17, 2012 | Dec 12, 2019 | Common Stock | 832 | 416 | I |
| Stock Options (Right to Buy)F3,F5 | $35.27 | Apr 24, 2015 | M | 502 | D | Dec 17, 2013 | Dec 10, 2020 | Common Stock | 1,506 | 1,004 | I |
| Stock Options (Right to Buy)F3,F5 | $59.41 | Apr 24, 2015 | M | 433 | D | Dec 17, 2014 | Dec 10, 2021 | Common Stock | 1,732 | 1,299 | I |
Explanation of responses
- F1The price in Column 4 is the greater of the two prices received . The prices actually received were $74.00 and $74.01. 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.
- F2This total reflects adjustments made on an amended Form 4 for October 2013 and a late Form 5 reporting transactions in fiscal years 2013 and 2014, which were filed concurrently with this filing.
- F3The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose.
- F4Fully vested at the time of filing.
- F5The option shares will vest 25% on December 17th annually beginning the date shown.