SEC Form 4 · accession 0001209191-19-012655

Xylem Inc. · XYL

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Senior Vice President

Period of report

Feb 20, 2019

Accepted (ET)

Feb 22, 2019 · 4:55 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
Common Stock^F1,F2	Feb 21, 2019	S	294	$74.4376	D	10,568	D
Common Stock^F3,F2	Feb 21, 2019	S	265	$74.4376	D	10,303	D
Common Stock^F4	Feb 20, 2019	A	2,700	$0.00	A	13,003	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option^F5	$74.07	Feb 20, 2019	A	11,723	A	—	Feb 20, 2029	Common	11,723	11,723	D

F1Reflects the sale of shares of common stock to cover the tax liability incident to the vesting of restricted stock units granted on February 21, 2017 under the Xylem 2011 Omnibus Incentive Plan.
F2This price represents the approximate 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 $74.40 to $74.53 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.
F3Reflects the sale of shares of common stock to cover the tax liability incident to the vesting of restricted stock units granted on February 21, 2018 under the Xylem 2011 Omnibus Incentive Plan.
F4Reflects an award of restricted stock units which are scheduled to vest in three equal annual installments beginning on February 20, 2020.
F5Reflects an award of stock options which are scheduled to vest in three equal annual installments beginning on February 20, 2020.