0001209191-14-070789.txt : 20141124 0001209191-14-070789.hdr.sgml : 20141124 20141124151221 ACCESSION NUMBER: 0001209191-14-070789 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141120 FILED AS OF DATE: 20141124 DATE AS OF CHANGE: 20141124 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: Mingle Robyn T CENTRAL INDEX KEY: 0001531828 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 141246153 MAIL ADDRESS: STREET 1: 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 2014-11-20 0 0001524472 Xylem Inc. XYL 0001531828 Mingle Robyn T 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 0 1 0 0 SVP & Chief HR Officer Common Stock 2014-11-20 4 M 0 7000 24.60 A 26887 D Common Stock 2014-11-20 4 S 0 7000 37.4116 D 19887 D Common Stock 2014-11-20 4 M 0 17298 26.60 A 37185 D Common Stock 2014-11-20 4 S 0 17298 37.4116 D 19887 D Stock Option (Right to Buy) 24.60 2014-11-20 4 M 0 7000 0.00 D 2021-11-07 common stock 7000 5063 D Stock Option (Right to Buy) 26.60 2014-11-20 4 M 0 17298 0.00 D 2022-03-02 common stock 17298 8648 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 $37.36 to $37.53 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 three equal annual installments beginning on March 2, 2013. /s/ Hannah Skeete by power of attorney for Robyn T. Mingle 2014-11-24