SEC Form 4 · accession 0001362109-18-000004
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeanne K Mason
Officer — SVP, Human Resources
Period of report
May 21, 2018
Accepted (ET)
May 23, 2018 · 5:43 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 | May 21, 2018 | M | 31,395 | $28.27 | A | 128,777 | D | |
| Common Stock, $1 par value | May 21, 2018 | S | 31,395 | $72.00 | D | 97,382 | 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) | $28.27 | May 21, 2018 | M | 10,465 | D | Mar 4, 2010 | Mar 4, 2019 | Common Stock, $1 par value | 10,465 | 0 | D |
| Stock Option (Right to Buy) | $28.27 | May 21, 2018 | M | 10,465 | D | Mar 4, 2011 | Mar 4, 2019 | Common Stock, $1 par value | 10,465 | 0 | D |
| Stock Option (Right to Buy) | $28.27 | May 21, 2018 | M | 10,465 | D | Mar 4, 2012 | Mar 4, 2019 | Common Stock, $1 par value | 10,465 | 0 | D |
Explanation of responses
- F1Transaction effected pursuant to a Rule 10b5-1 trading plan entered into by Ms. Mason with respect to certain vested stock options granted by Baxter International Inc. to Ms. Mason.