SEC Form 4 · accession 0001179110-16-033309

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — VP, Global Quality

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 5:04 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,F2	Dec 17, 2016	M	797	—	A	6,641	D
Common Stock^F3	Dec 17, 2016	F	268	$79.20	D	6,373	D
Common Stock^F1	Dec 17, 2016	M	453	—	A	6,826	D
Common Stock^F4	Dec 17, 2016	F	153	$79.20	D	6,673	D
Common Stock^F1	Dec 17, 2016	M	411	—	A	7,084	D
Common Stock^F5	Dec 17, 2016	F	139	$79.20	D	6,945	D
Common Stock^F1	Dec 17, 2016	M	473	—	A	7,418	D
Common Stock^F6	Dec 17, 2016	F	159	$79.20	D	7,259	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F1,F7	—	Dec 17, 2016	M	797	D	Dec 17, 2013	—	Common Stock	797	0	D
Restricted Stock Units^F1,F7	—	Dec 17, 2016	M	453	D	Dec 17, 2014	—	Common Stock	906	453	D
Restricted Stock Units^F1,F7	—	Dec 17, 2016	M	411	D	Dec 17, 2015	—	Common Stock	1,233	822	D
Restricted Stock Units^F1,F7	—	Dec 17, 2016	M	473	D	Dec 17, 2012	—	Common Stock	1,892	1,419	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F2Includes 103 additional shares acquired through the Company Employee Stock Purchase Plan on July 31, 2016.
F3797 shares of restricted stock vested on December 17, 2016. 268 shares were used to pay taxes and 529 shares were released.
F4453 shares of restricted stock vested on December 17, 2016. 153 shares were used to pay taxes and 300 shares were released.
F5411 shares of restricted stock vested on December 17, 2016. 139 shares were used to pay taxes and 272 shares were released.
F6473 shares of restricted stock vested on December 17, 2016. 159 shares were used to pay taxes and 314 shares were released.
F7The restricted stock units will vest 25% on December 17th annually beginning the date shown.