0001062993-22-009782.txt : 20220405 0001062993-22-009782.hdr.sgml : 20220405 20220405165706 ACCESSION NUMBER: 0001062993-22-009782 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220401 FILED AS OF DATE: 20220405 DATE AS OF CHANGE: 20220405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORSYTH JOHN D CENTRAL INDEX KEY: 0001262931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04448 FILM NUMBER: 22807834 MAIL ADDRESS: STREET 1: C/O BAXTER INTERNATIONAL STREET 2: ONE BAXTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BAXTER INTERNATIONAL INC CENTRAL INDEX KEY: 0000010456 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 360781620 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE BAXTER PKWY STREET 2: DF2-1W CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 8479482000 MAIL ADDRESS: STREET 1: ONE BAXTER PARKWAY STREET 2: DF2-1W CITY: DEERFIELD STATE: IL ZIP: 60015 FORMER COMPANY: FORMER CONFORMED NAME: BAXTER TRAVENOL LABORATORIES INC DATE OF NAME CHANGE: 19880522 FORMER COMPANY: FORMER CONFORMED NAME: BAXTER LABORATORIES INC DATE OF NAME CHANGE: 19760608 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2022-04-01 0000010456 BAXTER INTERNATIONAL INC BAX 0001262931 FORSYTH JOHN D ONE BAXTER PARKWAY DEERFIELD IL 60015 1 0 0 0 Common Stock, $1 par value 2022-04-01 4 M 0 1005 29.52 A 28034 D Common Stock, $1 par value 2022-04-01 4 S 0 1005 77.68 D 27029 D Stock Option (Right to Buy) 29.52 2022-04-01 4 M 0 1005 0 D 2013-05-08 2022-05-08 Common Stock, $1 par value 1005 1005 D Transaction effected pursuant to a Rule 10b-1 trading plan entered into by Mr. Forsyth November 4, 2021 with respect to certain vested stock options previously granted by Baxter International Inc. to Mr. Forsyth which were scheduled to expire on May 8, 2022. /s/ Matthew Rice, as attorney in-fact for John D. Forsyth 2022-04-05