SEC Form 4 · accession 0001179110-16-032319
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John C Heinmiller
Officer — Executive Vice President
Period of report
Nov 30, 2016
Accepted (ET)
Dec 2, 2016 · 4:09 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 | Nov 30, 2016 | M | 250,000 | $30.58 | A | 487,549 | D | |
| Common StockF2 | Nov 30, 2016 | F | 169,644 | $79.20 | D | 317,905 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy)F3 | $30.58 | Nov 30, 2016 | M | 250,000 | D | Dec 15, 2009 | Dec 15, 2016 | Common Stock | 250,000 | 0 | D |
Explanation of responses
- F1Includes 338 additional shares acquired through the Company Employee Stock Purchase Plan on July 29, 2016.
- F2Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 250,000 shares acquired upon the option exercise, net of 169,664 shares used to pay exercise price and taxes, resulted in 80,356 shares that were retained.
- F3Fully vested at the time of filing.