SEC Form 4 · accession 0001209191-16-137892
Xylem Inc. · XYL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tomas Brannemo
Officer — Senior Vice President
Period of report
Aug 17, 2016
Accepted (ET)
Aug 19, 2016 · 11:06 am 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 | Aug 17, 2016 | M | 3,986 | $35.96 | A | 20,480 | D | |
| Common StockF2 | Aug 17, 2016 | S | 3,986 | $50.064 | D | 16,494 | D | |
| Common Stock | Aug 17, 2016 | M | 4,538 | $38.76 | A | 21,032 | D | |
| Common StockF2 | Aug 17, 2016 | S | 4,538 | $50.064 | D | 16,494 | 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 | $35.96 | Aug 17, 2016 | M | 3,986 | D | — | Feb 24, 2025 | Common Stock | 3,986 | 7,972 | D |
| Stock Option (Right to Buy)F3 | $38.76 | Aug 17, 2016 | M | 4,538 | D | — | Feb 25, 2024 | Common Stock | 4,538 | 2,269 | D |
Explanation of responses
- F1Additional shares accrued through a qualified DRIP.
- 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 $50.02 to $50.12 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.