SEC Form 4 · accession 0001209191-15-078899
Xylem Inc. · XYL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R Loranger
Director
Period of report
Nov 4, 2015
Accepted (ET)
Nov 6, 2015 · 4:49 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001524472
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 4, 2015 | M | 65,690 | $18.633 | A | 75,479 | D | |
| Common StockF1 | Nov 4, 2015 | S | 65,690 | $36.6182 | D | 9,789 | D | |
| Common Stock | Nov 5, 2015 | M | 100,000 | $18.633 | A | 109,789 | D | |
| Common StockF2 | Nov 5, 2015 | S | 100,000 | $36.7291 | D | 9,789 | D | |
| Common Stock | holding | — | — | — | 177,118 | I | By Steven R. Loranger Revocable Trust | |
| Common Stock | holding | — | — | — | 50,551 | I | By Betsy Palmer Loranger Revocable Trust |
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 | $18.633 | Nov 4, 2015 | M | 65,690 | D | — | Mar 5, 2016 | Common Stock | 65,690 | 100,000 | D |
| Stock Option (Right to Buy)F4 | $18.633 | Nov 5, 2015 | M | 100,000 | D | — | Mar 5, 2016 | Common Stock | 100,000 | 0 | D |
Explanation of responses
- F1This price represents the approximate weighted average price per share of common stock (each, a "Share") of Xylem Inc. (the "Issuer"), of sales that were executed at prices ranging from $36.55 to $36.74 per Share. The Reporting Person undertakes to provide, upon request by the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of Shares sold at each price.
- F2This price represents the approximate weighted average price per share of common stock (each, a "Share") of Xylem Inc. (the "Issuer"), of sales that were executed at prices ranging from $36.50 to $36.93 per Share. The Reporting Person undertakes to provide, upon request by the Securities and Exchange Commission staff, the Issuer or a security holder of the Issuer, full information regarding the number of Shares sold at each price.
- F3These options are fully vested and exercisable.
- F4These options are fully vested and exercisable.