SEC Form 4 · accession 0001262931-16-000002
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John D Forsyth
Director
Period of report
Mar 14, 2016
Accepted (ET)
Mar 15, 2016 · 4:28 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 | Mar 14, 2016 | M | 1,886 | $20.96 | A | 26,306 | D | |
| Common Stock, $1 par valueF2 | Mar 14, 2016 | S | 1,886 | $40.30 | D | 24,420 | D |
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) | $20.96 | Mar 14, 2016 | M | 1,886 | D | May 1, 2007 | May 9, 2016 | Common Stock, $1 par value | 1,886 | 3,774 | D |
Explanation of responses
- F1Transaction effected pursuant to a Rule 10b5-1 trading plan entered into by Mr. Forsyth with respect to the stock options granted by Baxter International Inc. to Mr. Forsyth on May 9, 2006.
- F2Price reflects weighted average sales price. Range of prices for transactions are $40.09 through $40.41. Full information regarding the number of shares sold at each separate price will be provided by the issuer upon request.