SEC Form 4 · accession 0001179110-15-016603
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rachel Ellingson
Officer — VP, Global Communications
Period of report
Dec 17, 2015
Accepted (ET)
Dec 21, 2015 · 4:46 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 StockF1 | Dec 17, 2015 | M | 179 | — | A | 5,230 | D | |
| Common StockF2 | Dec 17, 2015 | F | 61 | $61.06 | D | 5,169 | D | |
| Common StockF1 | Dec 17, 2015 | M | 698 | — | A | 5,867 | D | |
| Common StockF3 | Dec 17, 2015 | F | 235 | $61.06 | D | 5,632 | D | |
| Common StockF1 | Dec 17, 2015 | M | 401 | — | A | 6,033 | D | |
| Common StockF4 | Dec 17, 2015 | F | 135 | $61.06 | D | 5,898 | D | |
| Common StockF1 | Dec 17, 2015 | M | 557 | — | A | 6,455 | D | |
| Common StockF5 | Dec 17, 2015 | F | 188 | $61.06 | D | 6,267 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 179 | D | Dec 17, 2012 | — | Common Stock | 179 | 0 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 698 | D | Dec 17, 2013 | — | Common Stock | 1,396 | 698 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 401 | D | Dec 17, 2014 | — | Common Stock | 1,203 | 802 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 557 | D | Dec 17, 2015 | — | Common Stock | 2,228 | 1,671 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
- F2179 shares of restricted stock vested on December 17, 2015. 61 shares were used to pay taxes and 118 shares were released.
- F3698 shares of restricted stock vested on December 17, 2015. 235 shares were used to pay taxes and 463 shares were released.
- F4401 shares of restricted stock vested on December 17, 2015. 135 shares were used to pay taxes and 266 shares were released.
- F5557 shares of restricted stock vested on December 17, 2015. 188 shares were used to pay taxes and 369 shares were released.
- F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.