SEC Form 4 · accession 0001179110-16-029196
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Rachel Ellingson
Officer — VP, Corporate Relations
Period of report
Aug 30, 2016
Accepted (ET)
Sep 1, 2016 · 4:00 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 30, 2016 | M | 875 | — | A | 7,480 | D | |
| Common StockF3 | Aug 30, 2016 | F | 294 | $78.63 | D | 7,186 | 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,F4 | — | Aug 30, 2016 | M | 875 | D | Aug 30, 2013 | — | Common Stock | 875 | 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 as of 7/31/16.
- F3875 shares of restricted stock vested on August 30, 2016. 294 shares were used to pay taxes and 581 shares were released.
- F4The restricted stock units will vest 25% on each of the first four anniversary dates of the date of the grant beginning the date shown.