SEC Form 4 · accession 0001179110-16-033303

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — Chief Medical Off-VP,Clinical

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 4:47 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	553	—	A	14,472	D
Common Stock^F2	Dec 17, 2016	F	234	$79.20	D	14,238	D
Common Stock^F1	Dec 17, 2016	M	514	—	A	14,752	D
Common Stock^F3	Dec 17, 2016	F	270	$79.20	D	14,482	D
Common Stock^F1	Dec 17, 2016	M	474	—	A	14,956	D
Common Stock^F4	Dec 17, 2016	F	249	$79.20	D	14,707	D
Common Stock^F1	Dec 17, 2016	M	540	—	A	15,247	D
Common Stock^F5	Dec 17, 2016	F	283	$79.20	D	14,964	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	553	D	Dec 17, 2013	—	Common Stock	553	0	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	514	D	Dec 17, 2014	—	Common Stock	1,028	514	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	474	D	Dec 17, 2015	—	Common Stock	1,422	948	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	540	D	Dec 17, 2015	—	Common Stock	2,160	1,620	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F2553 shares of restricted stock vested on December 17, 2016. 234 shares were used to pay taxes and 319 shares were released.
F3514 shares of restricted stock vested on December 17, 2016. 270 shares were used to pay taxes and 244 shares were released.
F4474 shares of restricted stock vested on December 17, 2016. 249 shares were used to pay taxes and 225 shares were released.
F5540 shares of restricted stock vested on December 17, 2016. 283 shares were used to pay taxes and 257 shares were released.
F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.