SEC Form 4 · accession 0001209191-17-030687
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
May 4, 2017
Accepted (ET)
May 8, 2017 · 7:19 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 4, 2017 | M | 2,772 | $37.47 | A | 21,000 | D | |
| Common StockF1 | May 4, 2017 | S | 2,772 | $50.3636 | D | 18,288 | D | |
| Common Stock | May 4, 2017 | M | 3,986 | $35.96 | A | 22,274 | D | |
| Common StockF1 | May 4, 2017 | S | 3,986 | $50.3636 | D | 18,288 | D | |
| Common Stock | May 4, 2017 | M | 2,269 | $38.76 | A | 20,557 | D | |
| Common StockF1 | May 4, 2017 | S | 2,269 | $50.3636 | D | 18,288 | D | |
| Common StockF2 | May 4, 2017 | S | 5,053 | $50.3523 | D | 13,235 | 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 | $37.47 | May 4, 2017 | M | 2,772 | D | — | Feb 24, 2026 | Common Stock | 2,772 | 5,543 | D |
| Employee Stock Option (Right to Buy)F3 | $35.96 | May 4, 2017 | M | 3,986 | D | — | Feb 24, 2025 | Common Stock | 3,986 | 3,986 | D |
| Employee Stock Option (Right to Buy)F3 | $38.76 | May 4, 2017 | M | 2,269 | D | — | Feb 25, 2024 | Common Stock | 2,269 | 0 | D |
Explanation of responses
- F1This price represents the 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 $50.31 to $50.47 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 weighted average price per Share of the Issuer, of sales that were executed at prices ranging from $50.31 to $50.44 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.