0001209191-15-065466.txt : 20150812 0001209191-15-065466.hdr.sgml : 20150812 20150812115031 ACCESSION NUMBER: 0001209191-15-065466 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150810 FILED AS OF DATE: 20150812 DATE AS OF CHANGE: 20150812 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 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: 151046071 MAIL ADDRESS: STREET 1: C/O XYLEM INC. STREET 2: 1133 WESTCHESTER AVENUE, SUITE N200 CITY: WHITE PLAINS STATE: NY ZIP: 10604 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-08-10 0 0001524472 Xylem Inc. XYL 0001014318 CRAWFORD CURTIS J 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 1 0 0 0 Common Stock 2015-08-10 4 M 0 3970 18.633 A 58313 D Common Stock 2015-08-10 4 S 0 3970 33.9973 D 54343 D Stock Option (Right to Buy) 18.633 2015-08-10 4 M 0 3970 0.00 D 2016-03-05 common stock 3970 0 D This price represents the approximate 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 $33.9958 to $34.00 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/ Hannah Skeete, by power of attorney for Curtis J. Crawford. 2015-08-12