SEC Form 4 · accession 0001209191-16-140704
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
Sep 7, 2016
Accepted (ET)
Sep 9, 2016 · 11:52 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 Stock | Sep 7, 2016 | M | 17,473 | $26.60 | A | 65,530 | D | |
| Common StockF1 | Sep 7, 2016 | S | 17,473 | $50.87 | D | 48,057 | D | |
| Common Stock | Sep 8, 2016 | M | 10,000 | $27.49 | A | 58,057 | D | |
| Common StockF2 | Sep 8, 2016 | S | 10,000 | $50.97 | 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)F3 | $26.60 | Sep 7, 2016 | M | 17,473 | D | — | Mar 2, 2022 | Common Stock | 17,473 | 0 | D |
| Employee Stock Option (right to buy)F3 | $27.49 | Sep 8, 2016 | M | 10,000 | D | — | Mar 1, 2023 | Common Stock | 10,000 | 12,078 | 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 $50.80 to $51.03 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 $50.95 to $51.07 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.