SEC Form 4 · accession 0001670858-18-000002
BAXTER INTERNATIONAL INC · BAX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Caroline Karp
Officer — SVP, Controller
Period of report
Mar 1, 2018
Accepted (ET)
Mar 5, 2018 · 4:15 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 1, 2018 | A | 1,070 | $0.00 | A | 13,086 | D | |
| Common Stock, $1 par valueF2 | Mar 2, 2018 | F | 176 | $66.28 | D | 12,910 | 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 | $66.31 | Mar 1, 2018 | A | 10,643 | A | — | Mar 1, 2028 | Common Stock, $1 par value | 10,643 | 10,643 | D |
Explanation of responses
- F1The reporting person received a grant of 1,070 restricted stock units which are scheduled to vest in three equal installments beginning on the first anniversary of the grant date, subject to satisfaction of the related vesting requirements set forth in the Baxter International Inc. ("the Company") 2015 Incentive Plan.
- F2Represents 176 shares of the Company's common stock forfeited by the reporting person to cover the payment of taxes incurred as a result of partial vesting of restricted stock granted on March 2, 2017.
- F3The option becomes exercisable in three equal annual installments beginning on the first anniversary of the date of the grant.