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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ISHRAK OMAR 710 MEDTRONIC PKWY MS LC300 MINNEAPOLIS, MN 55432 |
Chairman & CEO |
Sarah M. Maveus, Attorney-in-fact | 06/15/2011 | |
**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) | The RSUs become 100% vested on the fourth anniversary of the grant date and will be deferred until one year after separation of service. |
(2) | These RSUs vest 35% on the first anniversary of the grant date and 21.66% on the second, third, and fourth anniversaries of the grant date, subject to the attainment of $1 diluted EPS for the fiscal year ending immediately prior to the relevant anniversary date. Notwithstanding the foregoing, 2,072 RSUs scheduled to vest on the first anniversary of the grant date and 1,282 RSUs scheduled to vest on each of the second, third, and fourth anniversaries of the grant date shall vest only if in addition to the other requirements, the options of Mr. Ishrak?s prior employer scheduled to vest on 6/10/11 have not vested on such date or prior thereto or have vested on such date or prior thereto but have been forfeited prior to such time as such options are next thereafter exercisable by him with simultaneous sale of the underlying stock granted upon exercise under applicable securities laws and Mr. Ishrak?s prior employer?s trading restrictions. |