Sec Form 4 Filing - TEN HOEDT ROB @ Medtronic plc - 2021-11-01

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
TEN HOEDT ROB
2. Issuer Name and Ticker or Trading Symbol
Medtronic plc [ MDT]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & President EMEA
(Last) (First) (Middle)
710 MEDTRONIC PKWY MS LC300
3. Date of Earliest Transaction (MM/DD/YY)
11/01/2021
(Street)
MINNEAPOLIS, MN55432
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Ordinary Shares 11/01/2021 A( 1 ) 832 A $ 0 45,418 ( 2 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $ 120.23 11/01/2021 A 6,670 08/02/2022( 3 ) 08/02/2031 Ordinary Shares 6,670 $ 0 6,670 D
Performance Share Units ( 4 ) 11/01/2021 A 2,080 ( 5 ) ( 6 ) ( 6 ) Performance Share Units 2,080 $ 0 2,080 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
TEN HOEDT ROB
710 MEDTRONIC PKWY MS LC300
MINNEAPOLIS, MN55432
EVP & President EMEA
Signatures
/s/ Thomas L. Osteraas, attorney-in-fact 11/03/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The restrictions on the award shall lapse 100% on August 2, 2024.
( 2 )This balance increased by 97 shares due to exempt transactions such as dividend reinvestment.
( 3 )These options become exercisable at the rate of 25% of the shares granted per year beginning on the date noted.
( 4 )Each performance share unit represents a contingent right to receive one share of Medtronic common stock.
( 5 )The number of shares to be issued in connection with the performance share units ("PSUs") will vary depending on the level of certain performance metrics achieved over a three (3) year performance period. If target performance metrics are achieved, 2,080 shares will be issued. The actual number of shares to be issued could range from a low of 0 shares at minimum performance to a high of 4,160 shares at maximum performance. If minimum performance metrics are not met, such PSUs may vest at 0 shares.
( 6 )Vests on August 2, 2024.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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