SEC Form 4 · accession 0000899243-16-022048
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James R Gavin III
Director
Period of report
Jun 3, 2016
Accepted (ET)
Jun 7, 2016 · 7:43 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000010456
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Comp Plan Baxter Common Stock FundF1,F2 | — | Jun 3, 2016 | A | 1,114 | A | — | — | Common Stock, $1 par value | 1,114 | 9,172 | D |
| Deferred Comp Plan Baxter Common Stock FundF1,F3 | — | Jun 6, 2016 | A | 1,312 | A | — | — | Common Stock, $1 par value | 1,312 | 10,484 | D |
Explanation of responses
- F11 for 1.
- F2In connection with the June 3, 2016 merger (the "Merger") of a wholly-owned subsidiary of Shire plc with and into Baxalta Incorporated ("Baxalta"), with Baxalta as the surviving company, the reporting person received, or was deemed to receive, cash merger consideration in exchange for Baxalta restricted stock units previously deferred under Baxter's Directors' Deferred Compensation Plan (the "Plan"). A portion of such cash merger consideration was allocated to the Plan's Baxter Common Stock Fund notional investment alternative.
- F3On June 6, 2016 and in connection with the Merger, the reporting person received, or was deemed to receive, cash merger consideration with respect to investments previously allocated to the Plan's Baxalta Common Stock Fund notional investment alternative. A portion of such cash merger consideration was allocated to the Plan's Baxter Common Stock Fund notional investment alternative.