SEC Form 4 · accession 0001179110-15-016616
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
Dec 17, 2015
Accepted (ET)
Dec 21, 2015 · 4:55 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 | 432 | — | A | 787 | D | |
| Common StockF2 | Dec 17, 2015 | F | 146 | $61.06 | D | 641 | D | |
| Common StockF1 | Dec 17, 2015 | M | 704 | — | A | 1,345 | D | |
| Common StockF3 | Dec 17, 2015 | F | 237 | $61.06 | D | 1,108 | D | |
| Common StockF1 | Dec 17, 2015 | M | 502 | — | A | 1,610 | D | |
| Common StockF4 | Dec 17, 2015 | F | 169 | $61.06 | D | 1,441 | D | |
| Common StockF1 | Dec 17, 2015 | M | 436 | — | A | 1,877 | D | |
| Common StockF5 | Dec 17, 2015 | F | 147 | $61.06 | D | 1,730 | 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 | 432 | D | Dec 17, 2012 | — | Common Stock | 432 | 0 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 704 | D | Dec 17, 2013 | — | Common Stock | 1,408 | 704 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 502 | D | Dec 17, 2014 | — | Common Stock | 1,506 | 1,004 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2015 | M | 875 | D | Dec 17, 2015 | — | Common Stock | 3,500 | 2,625 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
- F2432 shares of restricted stock vested on December 17, 2015. 146 shares were used to pay taxes and 286 shares were released.
- F3704 shares of restricted stock vested on December 17, 2015. 237 shares were used to pay taxes and 467 shares were released.
- F4502 shares of restricted stock vested on December 17, 2015. 169 shares were used to pay taxes and 333 shares were released.
- F5463 shares of restricted stock vested on December 17, 2015. 147 shares were used to pay taxes and 289 shares were released.
- F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.