SEC Form 4 · accession 0001179110-16-033295

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — VP Global HR and CCO

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 4:35 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	619	—	A	19,961	D
Common Stock^F2	Dec 17, 2016	F	326	$79.20	D	19,635	D
Common Stock^F1	Dec 17, 2016	M	280	—	A	19,915	D
Common Stock^F3	Dec 17, 2016	F	148	$79.20	D	19,767	D
Common Stock^F1	Dec 17, 2016	M	229	—	A	19,996	D
Common Stock^F4	Dec 17, 2016	F	121	$79.20	D	19,875	D
Common Stock^F1	Dec 17, 2016	M	1,149	—	A	21,024	D
Common Stock^F5	Dec 17, 2016	F	603	$79.20	D	20,421	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	619	D	Dec 17, 2013	—	Common Stock	619	0	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	280	D	Dec 17, 2014	—	Common Stock	560	280	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	229	D	Dec 17, 2015	—	Common Stock	678	458	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	1,149	D	Dec 17, 2016	—	Common Stock	4,596	3,447	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F2619 shares of restricted stock vested on December 17, 2016. 326 shares were used to pay taxes and 293 shares were released.
F3280 shares of restricted stock vested on December 17, 2016. 148 shares were used to pay taxes and 132 shares were released.
F4229 shares of restricted stock vested on December 17, 2016. 121 shares were used to pay taxes and 108 shares were released.
F51,149 shares of restricted stock vested on December 17, 2016. 603 shares were used to pay taxes and 546 shares were released.
F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.