SEC Form 4 · accession 0001209191-18-013123
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, 2018
Accepted (ET)
Feb 23, 2018 · 5:46 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,F2 | Feb 21, 2018 | F | 879 | $75.18 | D | 19,044 | D | |
| Common StockF3 | Feb 21, 2018 | A | 5,321 | $0.00 | A | 24,365 | D | |
| Common StockF4 | holding | — | — | — | 342 | I | by 401(k) |
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)F5 | $75.18 | Feb 21, 2018 | A | 23,283 | A | — | Feb 21, 2028 | Common Stock | 23,283 | 23,283 | D |
Explanation of responses
- F1Reflects the withholding of shares of common stock to pay the tax liability incident to the vesting of restricted stock units granted on February 21, 2017 under the Xylem 2011 Omnibus Incentive Plan.
- F2Additional shares also accrued through a qualified DRIP.
- F3Reflects an award of restricted stock units which are scheduled to vest in three equal annual installments beginning on February 21, 2019.
- F4As of December 31, 2017
- F5These options vest in three equal annual installments beginning on February 21, 2019.