SEC Form 4 · accession 0001179110-16-033310

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — President, International

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 5:08 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	4,500	—	A	32,563	D
Common Stock^F1	Dec 17, 2016	M	2,554	—	A	35,117	D
Common Stock^F1	Dec 17, 2016	M	2,119	—	A	37,236	D
Common Stock^F1	Dec 17, 2016	M	2,429	—	A	39,665	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F1,F3	—	Dec 17, 2016	M	4,500	D	Dec 17, 2013	—	Common Stock	4,500	0	D
Restricted Stock Units^F1,F3	—	Dec 17, 2016	M	2,554	D	Dec 17, 2014	—	Common Stock	5,108	2,554	D
Restricted Stock Units^F1,F3	—	Dec 17, 2016	M	2,119	D	Dec 17, 2015	—	Common Stock	6,357	4,238	D
Restricted Stock Units^F1,F3	—	Dec 17, 2016	M	2,429	D	Dec 17, 2016	—	Common Stock	9,716	7,287	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F2Includes 288 additional shares acquired through the Company Employee Stock Purchase Plan on July 31, 2016.
F3The restricted stock units will vest 25% on December 17th annually beginning the date shown.