0001209191-21-015874.txt : 20210302 0001209191-21-015874.hdr.sgml : 20210302 20210302161355 ACCESSION NUMBER: 0001209191-21-015874 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210227 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pine Matthew Francis CENTRAL INDEX KEY: 0001807057 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 21703695 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: 914-323-5700 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 2021-02-27 0 0001524472 Xylem Inc. XYL 0001807057 Pine Matthew Francis 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 0 1 0 0 Senior Vice President Common Stock 2021-02-27 4 D 0 394 102.23 D 51140 D Common Stock 2021-03-01 4 A 0 2690 0.00 A 53830 D Stock Options (Right to Buy) 102.23 2021-03-01 4 A 0 11853 0.00 A 2031-03-01 Common 11853 11853 D Reflects the withholding of common stock to pay the tax liability incident to the vesting of restricted stock units granted on Feb 27, 2020 under the Xylem 2011 Omnibus Incentive Plan Reflects an award of restricted stock units pursuant to the Xylem 2011 Omnibus Incentive Plan, that are scheduled to vest in one third increments on March 1, 2022, March 1, 2023 and March 1, 2024 Reflects an award of non-qualified stock options pursuant to the Xylem 2011 Omnibus Incentive Plan, that are scheduled to vest in one third increments on March 1, 2022, March 1, 2023 and March 1, 2024 /s/ Kimberly Rehm, by power of attorney for Matthew F. Pine 2021-03-02