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