8509ff0e 4264 4ddb 9e9d fb410e6903bb

3M CO
Reported by
SHARER KEVIN W
FORM 5
(Annual Statement of Changes in Beneficial Ownership)
Filed 01/28/05 for the Period Ending 12/31/04
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 5
OMB APPROVAL
OMB Number: 3235-0362
Expires: January 31, 2005
Estimated average burden
hours per response... 1.0
UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
[ ] Check this box if no
longer subject to Section 16.
Form 4 or Form 5
obligations may continue.
See Instruction 1(b).
[ ] Form 3 Holdings
Reported
[ ] Form 4 Transactions
Reported
ANNUAL 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)
SHARER KEVIN W
3M CO [MMM]
(Last)
(First)
(Middle)
3. Statement for Issuer's Fiscal Year Ended
__ X __ Director
(MM/DD/YYYY)
_____ Officer (give title below)
below)
12/31/2004
1 AMGEN CENTER DRIVE
(Street)
4. If Amendment, Date Original Filed
6. Individual or Joint/Group Filing (Check
(MM/DD/YYYY)
Applicable Line)
THOUSAND OAKS, CA 91320
(City)
(State)
_____ 10% Owner
_____ Other (specify
_ 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.
Deemed Code
Execution (Instr. 8)
Date, if
any
4. Securities
Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned 6.
Following Reported Transaction(s)
Ownership
Form:
(Instr. 3 and 4)
Direct (D)
or Indirect
(A)
(I)
or
(Instr. 4)
Amount (D) Price
Common Stock
12 (2)
D
Common Stock
866 (1)
I
Common Stock
5770 (1)
I
7. Nature of
Indirect
Beneficial
Ownership
(Instr. 4)
Sharer
Family
Trust
by
Corporation
Table II - Derivative Securities Acquired, Disposed of, or 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.
4. Trans.
Deemed Code
Execution (Instr. 8)
Date, if
any
5. Number of
6. Date Exercisable
Derivative
and Expiration Date
Securities
(MM/DD/YYYY)
Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5)
(A)
(D)
7. Title and Amount of
Securities Underlying
Derivative Security
(Instr. 3 and 4)
Date
Expiration
Amount or Number of
Title
Exercisable Date
Shares
8. Price of
Derivative
Security
(Instr. 5)
9. Number
of
Derivative
Securities
Beneficially
Owned at
End of
Issuer's
Fiscal Year
(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) The indirectly-held common stock holding (by Corporation) reported on Table I includes deferred dividend reinvestment shares acquired
pursuant to 3M's Director Compensation Plan.
( 2) The directly-held common stock holding reported in Table I includes shares acquired pursuant to 3M's Dividend Reinvestment Program
in transactions exempt from Section 16.
Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
SHARER KEVIN W
1 AMGEN CENTER DRIVE
THOUSAND OAKS, CA 91320
X
Signatures
/s/ George Ann Biros For: Kevin W Sharer
1/28/2005
** 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 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.
Similar pages