0001209191-18-017154.txt : 20180306 0001209191-18-017154.hdr.sgml : 20180306 20180306151315 ACCESSION NUMBER: 0001209191-18-017154 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180305 FILED AS OF DATE: 20180306 DATE AS OF CHANGE: 20180306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brannemo Tomas CENTRAL INDEX KEY: 0001607927 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 18669630 MAIL ADDRESS: STREET 1: XYLEM INC. STREET 2: 1 INTERNATIONAL DRIVE CITY: RYE BROOK STATE: NY ZIP: 10573 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: 1 INTERNATIONAL DRIVE CITY: RYE BROOK STATE: NY ZIP: 10573 BUSINESS PHONE: 914-304-1700 MAIL ADDRESS: STREET 1: 1 INTERNATIONAL DRIVE CITY: RYE BROOK STATE: NY ZIP: 10573 FORMER COMPANY: FORMER CONFORMED NAME: ITT WCO, Inc. DATE OF NAME CHANGE: 20110628 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-05 0 0001524472 Xylem Inc. XYL 0001607927 Brannemo Tomas 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 0 1 0 0 Senior Vice President Common Stock 2018-03-05 4 M 0 3986 35.96 A 15848 D Common Stock 2018-03-05 4 S 0 3986 73.45 D 11862 D Common Stock 2018-03-05 4 M 0 2772 37.47 A 14634 D Common Stock 2018-03-05 4 S 0 2772 73.45 D 11862 D Common Stock 2018-03-05 4 M 0 3913 48.33 A 15775 D Common Stock 2018-03-05 4 S 0 3913 73.45 D 11862 D Common Stock 2018-03-05 4 S 0 1045 73.47 D 10817 D Employee Stock Option (Right to Buy) 35.96 2018-03-05 4 M 0 3986 0.00 D 2025-02-24 Common Stock 3986 0 D Employee Stock Option (Right to Buy) 37.47 2018-03-05 4 M 0 2772 0.00 D 2026-02-24 Common Stock 2772 2771 D Employee Stock Option (Right to Buy) 48.33 2018-03-05 4 M 0 3913 0.00 D 2027-02-21 Common Stock 3913 7824 D This price represents the weighted average price per share of common stock (each, a "Share") of Xylem Inc. (the "Issuer"), of sales that were executed at prices ranging from $73.44 to $73.52 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. These options vest in 3 equal annual installments beginning on February 24, 2017. These options vest in 3 equal annual installments beginning on February 21, 2018. /s/ Juliene Patton, by power of attorney for Tomas Brannemo 2018-03-06