0001209191-17-066695.txt : 20171220 0001209191-17-066695.hdr.sgml : 20171220 20171220202756 ACCESSION NUMBER: 0001209191-17-066695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171219 FILED AS OF DATE: 20171220 DATE AS OF CHANGE: 20171220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LORANGER STEVEN R CENTRAL INDEX KEY: 0001226924 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 171267846 MAIL ADDRESS: STREET 1: XYLEM. INC. STREET 2: 1133 WESTCHESTER AVENUE CITY: WHITE PLAINS STATE: NY ZIP: 10604 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 2017-12-19 0 0001524472 Xylem Inc. XYL 0001226924 LORANGER STEVEN R 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 1 0 0 0 Common Stock 2017-12-19 4 M 0 5019 32.38 A 26150 D Common Stock 2017-12-19 4 S 0 5019 68.0044 D 21131 D Common Stock 2017-12-20 4 M 0 12120 32.38 A 33251 D Common Stock 2017-12-20 4 S 0 12120 68.1386 D 21131 D Common Stock 130918 I By Steven R. Loranger Revocable Trust Stock Option (Right to Buy) 32.38 2017-12-19 4 M 0 5019 0.00 D 2018-10-31 Common Stock 5019 12120 D Stock Option (Right to Buy) 32.38 2017-12-20 4 M 0 12120 0.00 D 2018-10-31 Common Stock 12120 0 D The exercise and sale were made pursuant to a 10b5-1 plan adopted by the reporting person on November 10, 2017. 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 $68.00 to $68.02 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. 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 $68.00 to $68.34 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/ Juliene Patton, by power of attorney for Steven R. Loranger 2017-12-20