SEC Form 4 · accession 0001262931-17-000003
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John D Forsyth
Director
Period of report
Aug 25, 2017
Accepted (ET)
Aug 29, 2017 · 4:03 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 | Aug 25, 2017 | M | 3,760 | $33.77 | A | 32,444 | D | |
| Common Stock, $1 par value | Aug 25, 2017 | M | 5,680 | $26.78 | A | 38,124 | D | |
| Common Stock, $1 par value | Aug 25, 2017 | S | 9,440 | $61.76 | D | 28,684 | 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) | $33.77 | Aug 25, 2017 | M | 3,760 | A | May 6, 2009 | May 6, 2018 | Common Stock, $1 par value | 3,760 | 0 | D |
| Stock Option (Right to Buy) | $26.78 | Aug 25, 2017 | M | 5,680 | A | May 5, 2010 | May 5, 2019 | Common Stock, $1 par value | 5,680 | 0 | D |