SEC Form 4 · accession 0000899243-15-002646
Baxalta Inc · BXLT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James R Gavin III
Director
Period of report
Jul 1, 2015
Accepted (ET)
Aug 7, 2015 · 6:14 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001620546
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Comp Plan Baxalta Common Stock FundF2,F3,F1 | — | Jul 1, 2015 | A | 6,573 | A | — | — | Common Stock, $0.01 par value | 6,573 | 6,573 | D |
Explanation of responses
- F11 for 1.
- F2This transaction is being reported late due to an inadvertent administrative error.
- F3On July 1, 2015, as a result of the spin-off (the "Spin-Off") of Baxalta Incorporated from Baxter International Inc. ("Baxter"), the value of the reporting person's investment in the Baxter Common Stock Fund notional investment alternative under Baxter's Non-Employee Director Deferred Compensation Plan declined in accordance with the reduction in the trading price of Baxter common stock. To preserve the pre-Spin-Off value of the reporting person's deferred compensation and to reflect the dividend of one share of Baxalta common stock that was received for each share of Baxter common stock in the Spin-Off, an amount equal to approximately 45.6% of the value of the reporting person's deferred compensation in the Baxter Common Stock Fund notional investment alternative immediately prior to the Spin-Off was invested in the Baxalta Common Stock Fund notional investment alternative under Baxter's Non-Employee Director Deferred Compensation Plan.