3M CO Reported by POWELL DAVID W FORM 4 (Statement of Changes in Beneficial Ownership) Filed 01/21/04 for the Period Ending 01/20/04 Address Telephone CIK Symbol SIC Code Industry Sector Fiscal Year 3M CENTER BLDG. 220-11W-02 ST PAUL, MN 55144-1000 6517332204 0000066740 MMM 3841 - Surgical and Medical Instruments and Apparatus Constr. - Supplies & Fixtures Capital Goods 12/31 http://www.edgar-online.com © Copyright 2015, EDGAR Online, Inc. All Rights Reserved. Distribution and use of this document restricted under EDGAR Online, Inc. Terms of Use. FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). OMB APPROVAL OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response... 0.5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT 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(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person * 2. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) POWELL DAVID W 3M CO [ MMMC ] (Last) (First) (Middle) 3. Date of Earliest Transaction (MM/DD/YYYY) (City) (State) _____ 10% Owner __ X __ Officer (give title below) below) 1/20/2004 (Street) _____ Director _____ Other (specify 4. If Amendment, Date Original Filed VICE PRESIDENT MARKETING 6. Individual or Joint/Group Filing (Check (MM/DD/YYYY) Applicable Line) _ X _ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1.Title of Security (Instr. 3) 2. Trans. Date 2A. 3. Trans. 4. Securities Acquired 5. Amount of Securities Beneficially Deemed Code (A) or Disposed of (D) Owned Following Reported Transaction(s) Execution (Instr. 8) (Instr. 3 and 4) Date, if (Instr. 3, 4 and 5) any (A) or Code V Amount (D) Price 1/20/2004 Common Stock F 31 (1) D $84.445 Common Stock 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 43700 D 1945 I 7. Nature of Indirect Beneficial Ownership (Instr. 4) by 401k/PAESOP Trust Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) 1. Title of Derivate Security (Instr. 3) 2. 3. Conversion Trans. or Exercise Date Price of Derivative Security 3A. Deemed Execution Date, if any 4. Trans. Code (Instr. 8) 5. Number of 6. Date Exercisable Derivative and Expiration Date Securities Acquired (A) or Disposed of (D) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) (Instr. 3, 4 and 5) Code V (A) (D) Date Expiration Amount or Number of Title Exercisable Date Shares 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) Explanation of Responses: ( 1) Shares held in corporate custody as restricted shares and awarded under the applicable 3M Management Stock Ownership Program pursuant to Rule 16b-3(d) have been distributed to participant (including shares withheld for taxes) pursuant to the provisions of the Program. Reporting Owners Reporting Owner Name / Address Relationships Director 10% Owner Officer POWELL DAVID W VICE PRESIDENT MARKETING Signatures By: George Ann Biros For: David W. Powell 1/21/2004 Date Other ** Signature of Reporting Person 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 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). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. 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.