SEC Form 4 · accession 0001262931-16-000005
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John D Forsyth
Director
Period of report
May 3, 2016
Accepted (ET)
May 5, 2016 · 4:20 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 3, 2016 | A | 2,590 | — | A | 27,022 | 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)F2 | $44.39 | May 3, 2016 | A | 6,360 | A | — | May 1, 2026 | Common Stock, $1 par value | 6,360 | 6,360 | D |
Explanation of responses
- F1The reporting person received a grant of 2,590 restricted stock units which vest on the date of the 2017 annual meeting of stockholders.
- F2The date exercisable is the date of the 2017 annual meeting of stockholders.