0001209191-21-063232.txt : 20211105 0001209191-21-063232.hdr.sgml : 20211105 20211105172252 ACCESSION NUMBER: 0001209191-21-063232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211105 FILED AS OF DATE: 20211105 DATE AS OF CHANGE: 20211105 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: 211385767 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 2021-11-05 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 2021-11-05 4 M 0 2000 63.55 A 39217 D Common Stock 2021-11-05 4 S 0 2000 130.49 D 37217 D Stock Option (Right to Buy) 63.55 2021-11-05 4 M 0 2000 0.00 D 2030-05-07 Common 2000 42423 D The sale was made pursuant to a 10b5-1 plan adopted by the reporting person on March 15, 2021. This price represents the weighted average price per share of common stock (each, a "Share") of Xylem Inc. (the "Issuer"). 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. The May 7, 2020 option grant vests in one third increments on May 7, 2021, May 7, 2022 and May 7, 2023. /s/ Kimberly Rehm, by power of attorney for Matthew F. Pine 2021-11-05