SEC Form 4 · accession 0001645572-16-000005
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brik V Eyre
Officer — CVP, Hospital Products
Period of report
Mar 3, 2016
Accepted (ET)
Mar 7, 2016 · 4:26 pm EST
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 | Mar 3, 2016 | F | 2,155 | $39.33 | D | 38,274 | D | |
| Common Stock, $1 par valueF2 | Mar 4, 2016 | F | 395 | $39.46 | D | 37,879 | 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)F3 | $39.33 | Mar 3, 2016 | A | 139,717 | A | — | Mar 3, 2026 | Common Stock, $1 par value | 139,717 | 139,717 | D |
Explanation of responses
- F1Represents the number of shares forfeited by the reporting person to cover the payment of taxes incurred as a result of partial vesting of restricted stock granted on March 3, 2015.
- F2Represents the number of shares forfeited by the reporting person to cover the payment of taxes incurred as a result of partial vesting of restricted stock granted on March 4, 2014.
- F3The option becomes exercisable in three equal annual installments beginning on the first anniversary of the date of the grant.