SEC Form 4 · accession 0001179110-16-033294

ST JUDE MEDICAL, LLC · STJ

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — VP and Chief Marketing Officer

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 4:34 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
Common Stock^F1	Dec 17, 2016	M	477	—	A	8,804	D
Common Stock^F2	Dec 17, 2016	F	132	$79.20	D	8,672	D
Common Stock^F1	Dec 17, 2016	M	1,315	—	A	9,987	D
Common Stock^F3	Dec 17, 2016	F	363	$79.20	D	9,624	D
Common Stock^F1	Dec 17, 2016	M	436	—	A	10,060	D
Common Stock^F4	Dec 17, 2016	F	120	$79.20	D	9,940	D
Common Stock^F1	Dec 17, 2016	M	500	—	A	10,440	D
Common Stock^F5	Dec 17, 2016	F	138	$79.20	D	10,302	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	477	D	Dec 17, 2013	—	Common Stock	477	0	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	1,315	D	Dec 17, 2014	—	Common Stock	2,630	1,315	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	436	D	Dec 17, 2015	—	Common Stock	1,308	872	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	500	D	Dec 17, 2016	—	Common Stock	2,000	1,500	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F2477 shares of restricted stock vested on December 17, 2016. 132 shares were used to pay taxes and 345 shares were released.
F31,315 shares of restricted stock vested on December 17, 2016. 363 shares were used to pay taxes and 952 shares were released.
F4436 shares of restricted stock vested on December 17, 2016. 120 shares were used to pay taxes and 316 shares were released.
F5500 shares of restricted stock vested on December 17, 2016. 138 shares were used to pay taxes and 362 shares were released.
F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.