0001209191-12-058724.txt : 20121220 0001209191-12-058724.hdr.sgml : 20121220 20121220101628 ACCESSION NUMBER: 0001209191-12-058724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121219 FILED AS OF DATE: 20121220 DATE AS OF CHANGE: 20121220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CRAWFORD CURTIS J CENTRAL INDEX KEY: 0001014318 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 121276077 MAIL ADDRESS: STREET 1: C/O XYLEM INC. STREET 2: 1133 WESTCHESTER AVENUE, SUITE N200 CITY: WHITE PLAINS STATE: NY ZIP: 10604 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-12-19 0 0001524472 Xylem Inc. XYL 0001014318 CRAWFORD CURTIS J 1133 WESTCHESTER AVENUE C/O XYLEM INC. WHITE PLAINS NY 10604 1 0 0 0 Common Stock 2012-12-19 4 M 0 2420 17.353 A 46974 D Common Stock 2012-12-19 4 S 0 2420 27.5754 D 44554 D Stock Option (Right to Buy) 17.353 2012-12-19 4 M 0 2420 0.00 D 2013-01-04 Common Stock 2420 0 D 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 $27.5709 to $27.58 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 Curtis J. Crawford 2012-12-20