0001179110-16-024043.txt : 20160506 0001179110-16-024043.hdr.sgml : 20160506 20160506162213 ACCESSION NUMBER: 0001179110-16-024043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160504 FILED AS OF DATE: 20160506 DATE AS OF CHANGE: 20160506 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ST JUDE MEDICAL INC CENTRAL INDEX KEY: 0000203077 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411276891 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST PAUL STATE: MN ZIP: 55117 BUSINESS PHONE: 6517562000 MAIL ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST PAUL STATE: MN ZIP: 55117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DVORAK DAVID C CENTRAL INDEX KEY: 0001239000 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 161628370 MAIL ADDRESS: STREET 1: C/O ZIMMER INC STREET 2: PO BOX 708 CITY: WARSAW STATE: IN ZIP: 46580 4 1 edgar.xml FORM 4 - X0306 4 2016-05-04 0 0000203077 ST JUDE MEDICAL INC STJ 0001239000 DVORAK DAVID C ONE ST. JUDE MEDICAL DRIVE ST PAUL MN 55117 1 0 0 0 Common Stock 2016-05-04 4 A 0 2401 75.36 A 4322 D These shares are restricted. The restrictions on these shares will lapse on November 4, 2016. /s/ Kashif Rashid, Attorney in Fact 2016-05-06