SEC Form 4 · accession 0001209191-16-134691
Xylem Inc. · XYL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven R Loranger
Director
Period of report
Jul 28, 2016
Accepted (ET)
Aug 1, 2016 · 5:37 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 | Jul 28, 2016 | M | 32,246 | $30.03 | A | 38,334 | D | |
| Common StockF1,F2 | Jul 28, 2016 | S | 32,246 | $48.01 | D | 6,088 | D | |
| Common StockF3 | holding | — | — | — | 80,367 | 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)F4 | $30.03 | Jul 28, 2016 | M | 32,246 | D | — | Oct 31, 2018 | Common Stock | 32,246 | 100,019 | D |
Explanation of responses
- F1The exercise and sale was made under a 10b5-1 plan adopted by the reporting person on June 1, 2016.
- 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 $48.00 to $48.05 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.
- F36,500 Shares previously reported as directly held, were transferred to the Steven R. Loranger Revocable Trust in transactions exempt from reporting under 16a-13.
- F4These options are fully vested and exercisable.