SEC Form 4 · accession 0001124165-17-000003
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas T Stallkamp
Director
Period of report
Sep 5, 2017
Accepted (ET)
Sep 6, 2017 · 5:46 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 | Sep 5, 2017 | M | 4,990 | $31.26 | A | 16,263 | D | |
| Common Stock, $1 par value | Sep 5, 2017 | M | 3,930 | $36.93 | A | 20,193 | D | |
| Common Stock, $1 par valueF1 | Sep 5, 2017 | S | 8,920 | $62.28 | 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) | $31.26 | Sep 5, 2017 | M | 4,990 | D | May 8, 2012 | May 3, 2021 | Common Stock, $1 par value | 4,990 | 0 | D |
| Stock Option (Right to Buy) | $36.93 | Sep 5, 2017 | M | 3,930 | D | May 7, 2014 | May 5, 2023 | Common Stock, $1 par value | 3,930 | 0 | D |
Explanation of responses
- F1Price reflects weighted average sales price. Range of prices for transactions are $62.20 through $62.40. Full information regarding the number of shares sold at each separate price will be provided by the issuer upon request.