0001179110-16-032943.txt : 20161214 0001179110-16-032943.hdr.sgml : 20161214 20161214160928 ACCESSION NUMBER: 0001179110-16-032943 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161212 FILED AS OF DATE: 20161214 DATE AS OF CHANGE: 20161214 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: STARKS DANIEL J CENTRAL INDEX KEY: 0000902132 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12441 FILM NUMBER: 162051229 MAIL ADDRESS: STREET 1: ONE ST JUDE MEDICAL DRIVE CITY: ST PAUL STATE: MN ZIP: 55117 4 1 edgar.xml FORM 4 - X0306 4 2016-12-12 0 0000203077 ST JUDE MEDICAL INC STJ 0000902132 STARKS DANIEL J ONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 1 0 0 0 Common Stock 2016-12-12 4 M 0 500000 30.58 A 6628215 D Common Stock 2016-12-12 4 F 0 328794 80.20 D 6299421 D Stock Options (Right to Buy) 30.58 2016-12-12 4 M 0 500000 0 D 2009-12-15 2016-12-15 Common Stock 500000 0 D Shares of common stock withheld to pay the exercise price of the stock options and to pay tax withholdings. The 500,000 shares acquired upon the option exercise, net of 328,794 shares used to pay exercise price and taxes, resulted in 171,206 shares that were retained. Fully vested at the time of filing. /s/ Kashif Rashid, Attorney in Fact 2016-12-14