SEC Form 4 · accession 0001179110-16-033314

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — Chairman, CEO & President · Director

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 5:18 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	10,108	—	A	6,309,529	D
Common Stock^F2	Dec 17, 2016	F	4,335	$79.20	D	6,305,194	D
Common Stock^F1	Dec 17, 2016	M	9,693	—	A	6,314,887	D
Common Stock^F3	Dec 17, 2016	F	4,157	$79.20	D	6,310,730	D
Common Stock^F1	Dec 17, 2016	M	9,158	—	A	6,319,888	D
Common Stock^F4	Dec 17, 2016	F	3,927	$79.20	D	6,315,961	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	10,108	D	Dec 17, 2013	—	Common Stock	10,108	0	D
Restricted Stock Units^F1,F5	—	Dec 17, 2016	M	9,693	D	Dec 17, 2014	—	Common Stock	19,385	9,693	D
Restricted Stock Units^F1,F5	—	Dec 17, 2016	M	9,158	D	Dec 17, 2015	—	Common Stock	27,474	18,316	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F210,108 shares of restricted stock vested on December 17, 2016. 4,335 shares were used to pay taxes and 5,773 shares were released.
F39,693 shares of restricted stock vested on December 17, 2016. 4,157 shares were used to pay taxes and 5,536 shares were released.
F49,158 shares of restricted stock vested on December 17, 2016. 3,927 shares were used to pay taxes and 5,231 shares were released.
F5The restricted stock units will vest 25% on December 17th annually beginning the date shown.