SEC Form 4 · accession 0001645572-16-000007
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
Dec 2, 2016
Accepted (ET)
Dec 6, 2016 · 4:08 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 | Dec 2, 2016 | F | 1,226 | $44.01 | D | 37,184 | D | |
| Common Stock, $1 par valueF2 | Dec 2, 2016 | F | 295 | $44.01 | D | 36,889 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the number of shares forfeited by the reporting person to cover the payment of taxes incurred as a result of vesting of restricted stock granted on December 2, 2013.
- 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 December 2, 2013.