0001228779-16-000005.txt : 20161122 0001228779-16-000005.hdr.sgml : 20161122 20161122162731 ACCESSION NUMBER: 0001228779-16-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161118 FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STORM KORNELIS J. CENTRAL INDEX KEY: 0001228779 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04448 FILM NUMBER: 162013497 MAIL ADDRESS: STREET 1: BAXTER INTERNATIONAL INC. STREET 2: ONE BAXTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 FORMER NAME: FORMER CONFORMED NAME: STORM KEES J DATE OF NAME CHANGE: 20030423 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-11-18 0000010456 BAXTER INTERNATIONAL INC BAX 0001228779 STORM KORNELIS J. ONE BAXTER PARKWAY DEERFIELD IL 60015 1 0 0 0 Common Stock, $1 par value 2016-11-18 4 M 0 4280 30.73 A 25208 D Common Stock, $1 par value 2016-11-18 4 S 0 4280 47.10 D 20928 D Stock Option (Right to Buy) 30.73 2016-11-18 4 M 0 4280 0 A 2008-05-06 2017-05-01 Common Stock, $1 par value 4280 0 D All shares sold at $47.10. /s/ Ellen K. McIntosh, as attorney-in-fact for Kornelis J. Storm 2016-11-22