SEC Form 4 · accession 0001209191-17-013861
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
Feb 21, 2017
Accepted (ET)
Feb 23, 2017 · 5:03 pm EST
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 | Feb 21, 2017 | A | 7,759 | $0.00 | A | 21,065 | D | |
| Common StockF2 | holding | — | — | — | 168 | I | by 401(k) plan |
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 | $48.33 | Feb 21, 2017 | A | 35,211 | A | — | Feb 21, 2027 | Common Stock | 35,211 | 35,211 | D |
Explanation of responses
- F1Reflects an award of restricted stock units which are scheduled to vest on February 21, 2018.
- F2As of December 31, 2016
- F3These options vest in three equal annual installments beginning on February 21, 2018.