0001209191-12-052793.txt : 20121113 0001209191-12-052793.hdr.sgml : 20121112 20121113161848 ACCESSION NUMBER: 0001209191-12-052793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121109 FILED AS OF DATE: 20121113 DATE AS OF CHANGE: 20121113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xylem Inc. CENTRAL INDEX KEY: 0001524472 STANDARD INDUSTRIAL CLASSIFICATION: PUMPS & PUMPING EQUIPMENT [3561] IRS NUMBER: 452080495 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1133 WESTCHESTER AVENUE CITY: WHITE PLAINS STATE: NY ZIP: 10604 BUSINESS PHONE: 914-304-1700 MAIL ADDRESS: STREET 1: 1133 WESTCHESTER AVENUE CITY: WHITE PLAINS STATE: NY ZIP: 10604 FORMER COMPANY: FORMER CONFORMED NAME: ITT WCO, Inc. DATE OF NAME CHANGE: 20110628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAMBAKERAS MARKOS I CENTRAL INDEX KEY: 0001012990 STANDARD INDUSTRIAL CLASSIFICATION: AUTO CONTROLS FOR REGULATING RESIDENTIAL & COMML ENVIRONMENT [3822] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 121198983 MAIL ADDRESS: STREET 1: C/O ITT CORPORATION STREET 2: 1133 WESTCHESTER AVENUE CITY: WHITE PLAINS STATE: NY ZIP: 10604 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-11-09 0 0001524472 Xylem Inc. XYL 0001012990 TAMBAKERAS MARKOS I 1133 WESTCHESTER AVENUE C/O XYLEM INC. WHITE PLAINS NY 10604 1 0 0 0 Common Stock 2012-11-09 4 M 0 2420 17.353 A 18424 D Common Stock 2012-11-09 4 S 0 1712 24.7312 D 16712 D Common Stock 17595 I By Tambakeras Family Trust Stock Option (Right to Buy) 17.353 2012-11-09 4 M 0 2420 0.00 D 2013-01-04 Common Stock 2420 0 D The reporting person exercised options due to expire on January 4, 2013 and subsequently sold only enough shares to cover the cost of the exercise of the options and is retaining the remaining shares acquired upon exercise. This price represents the approximate weighted average price per share of common stock of Xylem Inc. (the "Issuer"), of sales that were executed at prices ranging from 24.73 to 24.7318 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. These options are fully vested and exercisable. /s/ Rina E. Teran, Assistant corporate Secretary of Xylem Inc., by power of attorney for Markos I. Tambakeras 2012-11-13