SEC Form 4 · accession 0001179110-16-033324
ST JUDE MEDICAL, LLC · STJ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald Zurbay
Officer — VP Finance and CFO
Period of report
Dec 17, 2016
Accepted (ET)
Dec 20, 2016 · 5:40 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 | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 17, 2016 | M | 2,333 | — | A | 22,433 | D | |
| Common StockF2 | Dec 17, 2016 | F | 784 | $79.20 | D | 21,649 | D | |
| Common StockF1 | Dec 17, 2016 | M | 2,346 | — | A | 23,995 | D | |
| Common StockF3 | Dec 17, 2016 | F | 789 | $79.20 | D | 23,206 | D | |
| Common StockF1 | Dec 17, 2016 | M | 2,171 | — | A | 25,377 | D | |
| Common StockF4 | Dec 17, 2016 | F | 730 | $79.20 | D | 24,647 | D | |
| Common StockF1 | Dec 17, 2016 | M | 2,704 | — | A | 27,351 | D | |
| Common StockF5 | Dec 17, 2016 | F | 1,276 | $79.20 | D | 26,075 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2016 | M | 2,333 | D | Dec 17, 2013 | — | Common Stock | 2,333 | 0 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2016 | M | 2,346 | D | Dec 17, 2014 | — | Common Stock | 4,692 | 2,346 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2016 | M | 2,171 | D | Dec 17, 2015 | — | Common Stock | 6,513 | 4,342 | D |
| Restricted Stock UnitsF1,F6 | — | Dec 17, 2016 | M | 2,704 | D | Dec 17, 2016 | — | Common Stock | 10,816 | 8,112 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
- F22,333 shares of restricted stock vested on December 17, 2016. 784 shares were used to pay taxes and 1,549 shares were released.
- F32,346 shares of restricted stock vested on December 17, 2016. 789 shares were used to pay taxes and 1,557 shares were released.
- F42,171 shares of restricted stock vested on December 17, 2016. 730 shares were used to pay taxes and 1,441 shares were released.
- F52.704 shares of restricted stock vested on December 17, 2016. 1,276 shares were used to pay taxes and 1,428 shares were released.
- F6The restricted stock units will vest 25% on December 17th annually beginning the date shown.