SEC Form 4 · accession 0001124165-17-000002
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas T Stallkamp
Director
Period of report
May 5, 2017
Accepted (ET)
May 9, 2017 · 4:25 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000010456
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $1 par value | May 5, 2017 | S | 2,618 | $55.81 | D | 11,273 | D | |
| Common Stock, $1 par value | May 5, 2017 | M | 3,760 | $33.77 | A | 15,033 | D | |
| Common Stock, $1 par valueF1 | May 5, 2017 | S | 3,760 | $55.74 | D | 11,273 | D | |
| Common Stock, $1 par value | May 5, 2017 | M | 4,320 | $24.27 | A | 15,593 | D | |
| Common Stock, $1 par valueF1 | May 5, 2017 | S | 4,320 | $55.74 | D | 11,273 | D | |
| Common Stock, $1 par value | holding | — | — | — | 22,600 | I | Spousal Lifetime Access Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy) | $33.77 | May 5, 2017 | M | 3,760 | D | May 6, 2009 | May 6, 2018 | Common Stock, $1 par value | 3,760 | 0 | D |
| Stock Option (Right to Buy) | $24.27 | May 5, 2017 | M | 4,320 | D | May 4, 2011 | May 4, 2020 | Common Stock, $1 par value | 4,320 | 0 | D |
Explanation of responses
- F1Price reflects weighted average sales price. Range of prices for transactions are $55.74 through $55.75. Full information regarding the number of shares sold at each separate price will be provided by the issuer upon request.