Initial Statement of Beneficial Ownership (3)
February 18 2015 - 5:18PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Bae I Paul
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2. Date of Event Requiring Statement (MM/DD/YYYY)
2/16/2015
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3. Issuer Name
and
Ticker or Trading Symbol
ST JUDE MEDICAL INC [STJ]
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(Last)
(First)
(Middle)
ONE ST. JUDE MEDICAL DRIVE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
VP Global HR and CCO /
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(Street)
ST. PAUL, MN 55117
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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9229
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Options (Right to Buy)
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12/10/2008
(1)
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12/10/2015
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Common Stock
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34000
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$40.55
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D
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Stock Options (Right to Buy)
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12/15/2009
(1)
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12/15/2016
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Common Stock
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24000
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$30.58
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D
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Stock Options (Right to Buy)
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12/14/2010
(1)
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12/14/2017
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Common Stock
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30000
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$38.59
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D
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Stock Options (Right to Buy)
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12/14/2011
(1)
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12/14/2018
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Common Stock
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19996
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$41.65
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D
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Stock Options (Right to Buy)
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12/17/2012
(2)
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12/12/2019
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Common Stock
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22000
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$34.96
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D
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Restricted Stock Units
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12/17/2012
(3)
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(4)
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Common Stock
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714
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(4)
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D
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Stock Options (Right to Buy)
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12/17/2013
(2)
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12/10/2020
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Common Stock
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19816
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$35.27
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D
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Restricted Stock Units
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12/17/2013
(3)
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(4)
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Common Stock
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1238
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(4)
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D
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Stock Options (Right to Buy)
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12/17/2014
(2)
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12/10/2021
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Common Stock
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9332
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$59.41
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D
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Restricted Stock Units
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12/17/2014
(3)
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(4)
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Common Stock
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840
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(4)
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D
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Stock Options (Right to Buy)
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12/17/2015
(2)
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12/8/2022
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Common Stock
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8068
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$69.08
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D
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Restricted Stock Units
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12/17/2015
(3)
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(4)
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Common Stock
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916
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(4)
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D
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Explanation of Responses:
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(
1)
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Fully vested at the time of filing.
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(
2)
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The option shares will vest 25% on December 17th annually beginning the date shown.
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(
3)
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The restricted stock units will vest 25% on December 17th annually beginning the date shown.
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(
4)
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Each restricted stock unit represents a contingent right to receive one share of the Company's common stock.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Bae I Paul
ONE ST. JUDE MEDICAL DRIVE
ST. PAUL, MN 55117
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VP Global HR and CCO
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Signatures
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/s/ Kashif Rashid, Attorney in Fact
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2/18/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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