SEC Form 4 · accession 0001209191-16-120365
Xylem Inc. · XYL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Colin R Sabol
Officer — Senior Vice President
Period of report
May 12, 2016
Accepted (ET)
May 16, 2016 · 4:23 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 Stock | May 12, 2016 | M | 14,828 | $30.03 | A | 62,885 | D | |
| Common StockF1 | May 12, 2016 | S | 14,828 | $42.86 | D | 48,057 | D | |
| Common Stock | May 12, 2016 | M | 14,437 | $32.38 | A | 62,494 | D | |
| Common StockF2 | May 12, 2016 | S | 14,437 | $43.00 | D | 48,057 | D | |
| Common Stock | May 12, 2016 | M | 10,000 | $26.60 | A | 58,057 | D | |
| Common StockF3 | May 12, 2016 | S | 10,000 | $42.86 | D | 48,057 | 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 Option (right to buy)F4 | $30.03 | May 12, 2016 | M | 14,828 | D | — | Mar 5, 2020 | Common Stock | 14,828 | 0 | D |
| Employee Stock Option (right to buy)F4 | $32.38 | May 12, 2016 | M | 14,437 | D | — | Mar 3, 2021 | Common Stock | 14,437 | 0 | D |
| Employee Stock Option (right to buy)F4 | $26.60 | May 12, 2016 | M | 10,000 | D | — | Mar 2, 2022 | Common Stock | 10,000 | 17,473 | 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 $42.68 to $43.15 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 sales that were executed at prices ranging from $42.88 to $43.22 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.
- F3This price represents the approximate weighted average price per Share of sales that were executed at prices ranging from $42.68 to $43.15 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.
- F4These options are fully vested and exercisable.