SEC Form 4 · accession 0001179110-16-033311

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — Executive Vice President

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 5:10 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	8,000	—	A	325,905	D
Common Stock^F2	Dec 17, 2016	F	3,856	$79.20	D	322,049	D
Common Stock^F1	Dec 17, 2016	M	4,474	—	A	326,523	D
Common Stock^F3	Dec 17, 2016	F	2,157	$79.20	D	324,366	D
Common Stock^F1	Dec 17, 2016	M	2,989	—	A	327,355	D
Common Stock^F4	Dec 17, 2016	F	1,441	$79.20	D	325,914	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F1,F5	—	Dec 17, 2016	M	8,000	D	Dec 17, 2013	—	Common Stock	8,000	0	D
Restricted Stock Units^F1,F5	—	Dec 17, 2016	M	4,474	D	Dec 17, 2014	—	Common Stock	8,948	4,474	D
Restricted Stock Units^F1,F5	—	Dec 17, 2016	M	2,989	D	Dec 17, 2015	—	Common Stock	8,967	5,978	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F28,000 shares of restricted stock vested on December 17, 2016. 3,856 shares were used to pay taxes and 4,144 shares were released.
F34,474 shares of restricted stock vested on December 17, 2016. 2,157 shares were used to pay taxes and 2,317 shares were released.
F42,989 shares of restricted stock vested on December 17, 2016. 1,441 shares were used to pay taxes and 1,548 shares were released.
F5The restricted stock units will vest 25% on December 17th annually beginning the date shown.