SEC Form 4 · accession 0001209191-16-118193
Xylem Inc. · XYL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
E Mark Rajkowski
Officer — SVP, CFO
Period of report
May 5, 2016
Accepted (ET)
May 6, 2016 · 5:44 pm EDT
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 StockF1 | May 5, 2016 | A | 9,030 | $0.00 | A | 9,030 | D | |
| Common StockF2 | May 5, 2016 | A | 4,816 | $0.00 | A | 13,846 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Options (Right to Buy)F3 | $41.53 | May 5, 2016 | A | 40,453 | A | — | Feb 24, 2026 | Common Stock | 40,453 | 40,453 | D |
Explanation of responses
- F1Restricted stock units scheduled to vest in three equal annual installments beginning on February 24, 2017. Each restricted stock unit represents the right to receive one share of common stock upon vesting.
- F2Restricted stock units scheduled to vest in three equal annual installments beginning on May 5, 2017. Each restricted stock unit represents the right to receive one share of common stock upon vesting.
- F3These options vest in three equal annual installments beginning on February 24, 2017.