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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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 control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Restricted Stock Units | Â | 12/14/2013 | Â | M4 | Â | 63 | 12/14/2011(11) | Â (1) | Common Stock | $ 0 | 63 (2) | By Spouse | ||
Restricted Stock Units | Â | 12/17/2013 | Â | M4 | Â | 54 | 12/17/2012(12) | Â (1) | Common Stock | $ 0 | 108 (2) | By Spouse | ||
Restricted Stock Units | Â | 12/17/2013 | Â | M4 | Â | 63 | 12/17/2013(12) | Â (1) | Common Stock | $ 0 | 189 (2) | By Spouse | ||
Restricted Stock Units | Â | 12/14/2014 | Â | M4 | Â | 63 | 12/14/2011(13) | Â (1) | Common Stock | $ 0 | 0 | By Spouse | ||
Restricted Stock Units | Â | 12/17/2014 | Â | M4 | Â | 54 | 12/17/2012(12) | Â (1) | Common Stock | $ 0 | 54 (2) | By Spouse | ||
Restricted Stock Units | Â | 12/17/2014 | Â | M4 | Â | 63 | 12/17/2013(12) | Â (1) | Common Stock | $ 0 | 126 (2) | By Spouse | ||
Restricted Stock Units | Â | 12/17/2014 | Â | M4 | Â | 52 | 12/17/2014(12) | Â (1) | Common Stock | $ 0 | 156 (2) | By Spouse |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Zellers Jason ONE ST. JUDE MEDICAL DRIVE ST. PAUL, MN 55117 |
 |  |  VP, General Counsel & Corp Sec |  |
/s/ Kashif Rashid, Attorney in Fact | 04/28/2015 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | Each restricted stock unit represents a contingent right to receive one share of the Company's common stock. |
(2) | The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. |
(3) | 63 shares of restricted stock vested on December 14, 2013. 22 shares were used to pay taxes and 41 shares were released. |
(4) | 54 shares of restricted stock vested on December 17, 2013. 19 shares were used to pay taxes and 35 shares were released. |
(5) | 63 shares of restricted stock vested on December 17, 2013. 22 shares were used to pay taxes and 41 shares were released. |
(6) | 63 shares of restricted stock vested on December 14, 2014. 22 shares were used to pay taxes and 41 shares were released. |
(7) | 54 shares of restricted stock vested on December 17, 2014. 19 shares were used to pay taxes and 35 shares were released. |
(8) | 63 shares of restricted stock vested on December 17, 2014. 22 shares were used to pay taxes and 41 shares were released. |
(9) | 52 shares of restricted stock vested on December 17, 2014. 18 shares were used to pay taxes and 34 shares were released. |
(10) | This form 5 is for the 2014 fiscal year end adjusting the totals to reflect an amended form 4 and late reporting of restricted stock vests. |
(11) | The restricted stock units vest 25% on each of the first four anniversary dates of the date of the grant beginning on the date shown. |
(12) | The restricted stock units will vest 25% on December 17th annually beginning the date shown. |
(13) | Fully vested at the time of filing. |