SEC Form 4 · accession 0001228779-17-000001
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kornelis J. Storm
Director
Period of report
May 2, 2017
Accepted (ET)
May 4, 2017 · 5:02 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 valueF1 | May 2, 2017 | F | 785 | $55.68 | D | 20,195 | D | |
| Common Stock, $1 par valueF2 | May 2, 2017 | A | 3,233 | — | A | 23,428 | D | |
| Common Stock, $1 par valueF3 | May 2, 2017 | F | 970 | $55.68 | D | 22,458 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the forfeiture of shares to pay the tax liability on the 2016 Restricted Stock Unit grant which vested on May 2, 2017.
- F2The reporting person received a grant of 3,233 fully vested shares of common stock of Baxter International Inc. (the "Company"), subject to the terms and conditions of the applicable grant.
- F3Represents the forfeiture of shares to pay the tax liability on the 2017 annual equity grant of common stock.