SEC Form 4 · accession 0001179110-16-028461
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
Aug 5, 2016
Accepted (ET)
Aug 9, 2016 · 4:04 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 | Aug 5, 2016 | M | 656 | — | A | 8,158 | D | |
| Common StockF3 | Aug 5, 2016 | F | 248 | $83.90 | D | 7,910 | 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 | — | Aug 5, 2016 | M | 656 | D | Aug 5, 2013 | — | Common Stock | 656 | 0 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
- F2Includes 338 additional shares acquired through the Company Employee Stock Purchase Plan on 7/29/16.
- F3656 shares of restricted stock vested on August 5, 2016. 248 shares were used to pay taxes and 408 shares were released.