0001209191-18-009997.txt : 20180214
0001209191-18-009997.hdr.sgml : 20180214
20180214172333
ACCESSION NUMBER: 0001209191-18-009997
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180214
DATE AS OF CHANGE: 20180214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAMBAKERAS MARKOS I
CENTRAL INDEX KEY: 0001012990
STANDARD INDUSTRIAL CLASSIFICATION: AUTO CONTROLS FOR REGULATING RESIDENTIAL & COMML ENVIRONMENT [3822]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35229
FILM NUMBER: 18613815
MAIL ADDRESS:
STREET 1: C/O ITT CORPORATION
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2017-12-31
0
0
0
0001524472
Xylem Inc.
XYL
0001012990
TAMBAKERAS MARKOS I
1 INTERNATIONAL DRIVE
C/O XYLEM INC.
RYE BROOK
NY
10573
1
0
0
0
Common Stock
2017-08-23
5
G
0
9512
0.00
D
35070
D
Common Stock
2017-08-23
5
G
0
9512
0.00
A
27964
I
By Tambakeras Family Trust
On August 23, 2017, 9512 shares of Xylem Inc. common stock were gifted to the reporting person's revocable family trust.
/s/ Juliene Patton, by power of attorney for Markos I. Tambakeras
2018-02-14