SEC Form 4 · accession 0001262931-18-000001
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 8, 2018
Accepted (ET)
May 10, 2018 · 4:18 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 8, 2018 | A | 1,332 | $69.45 | A | 30,032 | 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 | $69.45 | May 8, 2018 | A | 6,437 | A | — | May 8, 2028 | Common Stock, $1 par value | 6,437 | 6,437 | D |
Explanation of responses
- F1The reporting person received a grant of 1,332 fully vested shares of common stock of Baxter International Inc. (the "Company"), subject to the terms and conditions of the applicable grant.
- F2The reporting person received a grant of 6,437 fully vested Company stock options, subject to the terms and conditions of the applicable grant.