1. Name and Address of Reporting Person
Williams, Keith E.
Medtronic, Inc.
710 Medtronic Pkwy
Minneapolis, MN 55432-
2. Issuer Name and Ticker or Trading Symbol
Medtronic, Inc. (MDT)
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
2002
5. If Amendment, Date of Original (Month/Day/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( ) Director ( ) 10% Owner
(X) Officer (give title below) ( ) Other (specify below)
Sr. Vice President & Chief Quality Officer
7. 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 Acquired, Disposed of, or Beneficially Owned
+---------------------------------+----------+-------------+-----------------------------+----------------+-----------+------------+
|1. Title of Security |2. Trans- |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Owner- |7. Nature |
| | action | action | or Disposed of (D) | Securities | ship | of In- |
| | Date | Code | | Beneficially | Form: | direct |
| | | | | Owned at | Direct | Bene- |
| | (Month/ | | | End of | (D) or | ficial |
| | Day/ | +-----------+------+----------+ Year | Indirect| Owner- |
| | Year) | |Amount |A/D |Price | | (I) | ship |
+---------------------------------+----------+-------------+-----------+------+----------+----------------+-----------+------------+
Common Stock 6690.205 D
Common Stock 916.571 I By ESOP
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+-------------+--------+----------+---------+-----------+---------------------+----------------+----------+--------+-------+-------+
|1. |2. |3. |4. |5. |6. |7. |8. |9. |10. |11. |
| | | | | | | | |Number |Owner- | |
| | | | | | | | |of |ship | |
| | | | | | | | |Deriv- |Form of| |
| | | | | | |Title and Amount| |ative |Deriv- | |
| | | | | | |of Underlying | |Secur- |ative |Nature |
| |Conver- | | |Number of | |Securities | |ities |Secur- |of |
| |sion or | | |Derivative |Date Exercisable +-------+--------+ |Benefi- |ity: |In- |
| |Exercise| | |Securities |and Expiration Date | |Amount | |cially |Direct |direct |
| |Price of|Transac- |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- |
|Title of |Deriv- |tion Date |tion Code|Disposed(D)+----------+----------+ |Number |Price of |at End |In- |ficial |
|Derivative |ative |(Month/ | +-----+-----+Date Exer-|Expira- | |of |Derivative|of |direct |Owner- |
|Security |Security|Day/Year) | |(A) |(D) |cisable |tion Date |Title |Shares |Security |Year |(I) |ship |
+-------------+--------+----------+---------+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+
Stock Options $43.5 10/25/2001 A 50575 10/25/2002 10/25/2011 Common 50575 $0.0000 50575 D
(Right to buy) Stock
Stock Options $43.81 04/26/2002 A 16106 04/26/2002 04/26/2012 Common 16106 $0.0000 16106 D
(Right to buy) Stock
Stock Options $47.8 06/28/2001 A 31381 06/28/2003 06/28/2011 Common 31381 $0.0000 31381 D
(Right to buy) Stock
Right to $0 04/26/2002 A 225.5 Common 225.509 $0.0000 225.509 D
Receive Stock 09 Stock
Explanation of Responses:
Includes 454 shares acquired under the 1995 Employees Stock Purchase Plan on
November 1, 2001.
Also reflects transfer of 1226 shares pursuant to Domestic
Relations Order.
These options become exercisable at the rate of 25% of the shares granted per
year beginning on the first anniversary of grant.
These options become exercisable at a rate of 50% on the second anniversary of
the grant date and 25% on the third and fourth anniversary.
Rights acquired under the Medtronic, Inc. Executive Non-qualified Supplemental
Benefit Plan to be settled in Medtronic common stock as a 1-for-1
conversion upon the employee's retirement or other termination of employment.
SIGNATURE OF REPORTING PERSON
/s/ Keith E. Williams
DATE
06/06/2002