SEC Form 4 · accession 0001179110-16-033315

ST JUDE MEDICAL, LLC · STJ

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

Reporting owner

Officer — VP, Global Ops & Supply Chain

Period of report

Dec 17, 2016

Accepted (ET)

Dec 20, 2016 · 5:19 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	704	—	A	2,968	D
Common Stock^F2	Dec 17, 2016	F	237	$79.20	D	2,731	D
Common Stock^F1	Dec 17, 2016	M	502	—	A	3,233	D
Common Stock^F3	Dec 17, 2016	F	169	$79.20	D	3,064	D
Common Stock^F1	Dec 17, 2016	M	436	—	A	3,500	D
Common Stock^F4	Dec 17, 2016	F	147	$79.20	D	3,353	D
Common Stock^F1	Dec 17, 2016	M	676	—	A	4,029	D
Common Stock^F5	Dec 17, 2016	F	228	$79.20	D	3,801	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	704	D	Dec 17, 2013	—	Common Stock	704	0	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	502	D	Dec 17, 2014	—	Common Stock	1,004	502	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	436	D	Dec 17, 2015	—	Common Stock	1,308	872	D
Restricted Stock Units^F1,F6	—	Dec 17, 2016	M	676	D	Dec 17, 2012	—	Common Stock	2,704	2,028	D

F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
F2704 shares of restricted stock vested on December 17, 2016. 237 shares were used to pay taxes and 467 shares were released.
F3502 shares of restricted stock vested on December 17, 2016. 169 shares were used to pay taxes and 333 shares were released.
F4436 shares of restricted stock vested on December 17, 2016. 147 shares were used to pay taxes and 289 shares were released.
F5676 shares of restricted stock vested on December 17, 2016. 228 shares were used to pay taxes and 448 shares were released
F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.