SEC Form 4 · accession 0001209191-17-059426
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
Nov 2, 2017
Accepted (ET)
Nov 6, 2017 · 4:43 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 Stock | Nov 2, 2017 | M | 12,078 | $27.49 | A | 61,979 | D | |
| Common StockF1 | Nov 2, 2017 | S | 12,078 | $65.801 | D | 49,901 | D | |
| Common Stock | Nov 2, 2017 | M | 10,000 | $38.76 | A | 59,901 | D | |
| Common StockF2 | Nov 2, 2017 | S | 10,000 | $65.79 | D | 49,901 | D | |
| Common StockF3 | Nov 2, 2017 | S | 15,992 | $65.8244 | D | 33,909 | 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)F4 | $27.49 | Nov 2, 2017 | M | 12,078 | D | — | Mar 1, 2023 | Common Stock | 12,078 | 0 | D |
| Employee Stock Option (Right to Buy)F4 | $38.76 | Nov 2, 2017 | M | 10,000 | D | — | Feb 25, 2024 | Common Stock | 10,000 | 7,017 | 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 $65.50 to $66.05 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
- F2This 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 $65.66 to $65.97 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.
- F3This 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 $65.51 to $66.18 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.
- F4These options are fully vested and exercisable.