SEC Form 4 · accession 0001209191-18-017154
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
Mar 5, 2018
Accepted (ET)
Mar 6, 2018 · 3:13 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 | Mar 5, 2018 | M | 3,986 | $35.96 | A | 15,848 | D | |
| Common StockF1 | Mar 5, 2018 | S | 3,986 | $73.45 | D | 11,862 | D | |
| Common Stock | Mar 5, 2018 | M | 2,772 | $37.47 | A | 14,634 | D | |
| Common StockF1 | Mar 5, 2018 | S | 2,772 | $73.45 | D | 11,862 | D | |
| Common Stock | Mar 5, 2018 | M | 3,913 | $48.33 | A | 15,775 | D | |
| Common StockF1 | Mar 5, 2018 | S | 3,913 | $73.45 | D | 11,862 | D | |
| Common Stock | Mar 5, 2018 | S | 1,045 | $73.47 | D | 10,817 | 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)F2 | $35.96 | Mar 5, 2018 | M | 3,986 | D | — | Feb 24, 2025 | Common Stock | 3,986 | 0 | D |
| Employee Stock Option (Right to Buy)F3 | $37.47 | Mar 5, 2018 | M | 2,772 | D | — | Feb 24, 2026 | Common Stock | 2,772 | 2,771 | D |
| Employee Stock Option (Right to Buy)F4 | $48.33 | Mar 5, 2018 | M | 3,913 | D | — | Feb 21, 2027 | Common Stock | 3,913 | 7,824 | 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 $73.44 to $73.52 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.
- F2These options are fully vested and exercisable.
- F3These options vest in 3 equal annual installments beginning on February 24, 2017.
- F4These options vest in 3 equal annual installments beginning on February 21, 2018.