SEC Form 4 · accession 0000899243-15-000644

Baxalta Inc · BXLT

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

Reporting owner

Officer — See Remarks

Period of report

Jul 1, 2015

Accepted (ET)

Jul 6, 2015 · 8:55 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001620546

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock, par value $0.01 per share^F1	Jul 1, 2015	J	67,734	$0.00	A	67,734	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (Right to Buy)^F2,F3	$33.63	Jul 1, 2015	J	108,336	A	—	Dec 1, 2024	Common Stock, par value $0.01 per share	108,336	108,336	D
Stock Option (Right to Buy)^F2,F4	$32.04	Jul 1, 2015	J	88,168	A	—	Mar 3, 2025	Common Stock, par value $0.01 per share	88,168	88,168	D

F1Represents restricted stock units granted by Baxalta Incorporated ("Baxalta") to the reporting person as a result of the adjustment of existing Baxter restricted stock units held by the reporting person prior to the spin-off (the "Spin-off") of Baxalta from Baxter International Inc. ("Baxter"). These restricted stock units vest on the schedule set forth in the original grant agreement.
F2Represents options to purchase shares of Baxalta common stock granted to the reporting person as a result of adjustments to existing Baxter stock options made in connection with the Spin-Off.
F3This option will vest in three equal annual installments beginning on December 1, 2015, the first anniversary of the grant date of the existing option award.
F4This option will vest in three equal annual installments beginning on March 3, 2016, the first anniversary of the grant date of the existing option award.

EVP and President, Intercontinental