SEC Form 4 · accession 0001179110-15-016609
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark Carlson
Officer — Chief Medical Off-VP,Clinical
Period of report
Dec 17, 2015
Accepted (ET)
Dec 21, 2015 · 4:50 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 | 384 | — | A | 6,352 | D | |
| Common StockF2 | Dec 17, 2015 | F | 145 | $61.06 | D | 6,207 | D | |
| Common StockF1 | Dec 17, 2015 | M | 553 | — | A | 6,760 | D | |
| Common StockF3 | Dec 17, 2015 | F | 209 | $61.06 | D | 6,551 | D | |
| Common StockF1 | Dec 17, 2015 | M | 514 | — | A | 7,065 | D | |
| Common StockF4 | Dec 17, 2015 | F | 195 | $61.06 | D | 6,870 | D | |
| Common StockF1 | Dec 17, 2015 | M | 474 | — | A | 7,344 | D | |
| Common StockF5 | Dec 17, 2015 | F | 180 | $61.06 | D | 7,164 | 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 | 384 | D | Dec 17, 2012 | — | Common Stock | 384 | 0 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 553 | D | Dec 17, 2013 | — | Common Stock | 1,106 | 553 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 514 | D | Dec 17, 2014 | — | Common Stock | 1,542 | 1,028 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 474 | D | Dec 17, 2015 | — | Common Stock | 1,896 | 1,422 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
- F2384 shares of restricted stock vested on December 17, 2015. 145 shares were used to pay taxes and 239 shares were released.
- F3553 shares of restricted stock vested on December 17, 2015. 209 shares were used to pay taxes and 344 shares were released.
- F4514 shares of restricted stock vested on December 17, 2015. 195 shares were used to pay taxes and 319 shares were released.
- F5474 shares of restricted stock vested on December 17, 2015. 180 shares were used to pay taxes and 294 shares were released.
- F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.