SEC Filings

3
WHITE ROBERT JOHN filed this Form 3 on 12/29/2017
Entire Document
 
SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
WHITE ROBERT JOHN

(Last) (First) (Middle)
MEDTRONIC PLC
710 MEDTRONIC PKWY MS LC300

(Street)
MINNEAPOLIS MN 55432

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/19/2017
3. Issuer Name and Ticker or Trading Symbol
Medtronic plc [ MDT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP & President MITG
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Ordinary Shares 42,144 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) 12/01/2011(1) 11/30/2020 Ordinary Shares 16,817 27.29 D
Stock Option (Right to Buy) 12/01/2012(1) 11/30/2021 Ordinary Shares 36,996 29.52 D
Stock Option (Right to Buy) 12/03/2013(1) 12/02/2022 Ordinary Shares 37,209 36.58 D
Stock Option (Right to Buy) 12/02/2014(1) 12/01/2023 Ordinary Shares 30,755 47 D
Stock Option (Right to Buy) 07/01/2011(1) 06/30/2020 Ordinary Shares 7,995 25.41 D
Stock Option (Right to Buy) 08/03/2016(1) 08/03/2025 Ordinary Shares 23,932 78 D
Stock Option (Right to Buy) 08/01/2017(1) 08/01/2026 Ordinary Shares 24,226 88.06 D
Stock Option (Right to Buy) 07/31/2018(1) 07/31/2027 Ordinary Shares 30,170 83.97 D
Stock Option (Right to Buy) 06/29/2018(2) 01/27/2025 Ordinary Shares 26,724 74.84 D
Stock Option (Right to Buy) 02/18/2016(3) 02/18/2025 Ordinary Shares 76,434 78.5 D
Stock Option (Right to Buy) 08/03/2016(1) 08/03/2025 Ordinary Shares 1,283 78 D
Stock Option (Right to Buy) 08/01/2017(1) 08/01/2026 Ordinary Shares 1,136 88.06 D
Stock Option (Right to Buy) 07/31/2018(1) 07/31/2027 Ordinary Shares 1,191 83.97 D
Explanation of Responses:
1. These options become exercisable at the rate of 25% of the shares granted per year beginning on the first anniversary of grant.
2. This option becomes exercisable on June 29, 2018, subject to Medtronic plc's achievement of a pre-specified cash Earnings Per Share Growth Rate for fiscal years 2016 through 2018
3. These options become exercisable at a rate of 50% on the first anniversary of the grant and 25% on the second and third anniversary.
/s/ Rhonda L. Ingalsbe, Attorney-in-fact 12/29/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
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