SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Clemmer James C

(Last) (First) (Middle)
C/O COVIDIEN
15 HAMPSHIRE STREET

(Street)
MANSFIELD MA 02048

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/20/2009
3. Issuer Name and Ticker or Trading Symbol
Covidien plc [ COV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Ordinary Shares 24,365(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (2) 11/30/2018 Ordinary Shares 30,290 $34.15 D
Stock Option (Right to Buy) (3) 03/25/2014 Ordinary Shares 12,151 $35.4533 D
Stock Option (Right to Buy) (3) 11/21/2015 Ordinary Shares 20,618 $36.9903 D
Stock Option (Right to Buy) (4) 11/20/2016 Ordinary Shares 26,106 $38.6485 D
Stock Option (Right to Buy) (3) 06/30/2014 Ordinary Shares 7,839 $41.9202 D
Stock Option (Right to Buy) (5) 07/01/2017 Ordinary Shares 36,000 $43.0878 D
Stock Option (Right to Buy) (3) 03/09/2015 Ordinary Shares 26,655 $45.6575 D
Stock Option (Right to Buy) (3) 04/17/2010 Ordinary Shares 1,881 $55.6428 D
Stock Option (Right to Buy) (3) 09/30/2011 Ordinary Shares 10,975 $57.016 D
Stock Option (Right to Buy) (3) 03/25/2011 Ordinary Shares 4,703 $57.1023 D
Explanation of Responses:
1. Includes 15,676 Restricted Stock Units (RSU) which generally vest in equal installments on the first, second, third and fourth anniversary of the grant date and are settled in ordinary shares upon vesting. The Reporting Person will receive dividend equivalent stock units in connection with the RSUs.
2. This option becomes exercisable in four equal installments on each of the first, second, third and fourth anniversary of the grant date, December 1, 2008.
3. This option is fully exercisable.
4. This option becomes exercisable in four equal installments on each of the first, second, third and fourth anniversary of the grant date, November 21, 2006.
5. This option becomes exercisable in four equal installments on each of the first, second, third and fourth anniversary of the grant date, July 2, 2007.
Remarks:
clemmer.TXT
By: John W. Kapples, Attorney in Fact 11/20/2009
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.