0001209191-22-007426.txt : 20220207 0001209191-22-007426.hdr.sgml : 20220207 20220207161016 ACCESSION NUMBER: 0001209191-22-007426 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220207 DATE AS OF CHANGE: 20220207 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: 22597464 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: 914-323-5700 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 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 2021-12-21 5 G 0 2577 0.00 D 27639 I Tambakeras Family Trust Common Stock 1328 D On December 21, 2021, 2,577 shares of Xylem Inc. common stock were transferred from the reporting person's individual account to the Tambakeras Family Trust. Reflects the previously reported transfer in 2018 of 31,005 shares from the reporting person's individual account to the Tambakeras Family Trust and 6,599 shares to the Tambakeras 2018 Grantor Retained Annuity Trust. /s/ Kimberly Rehm, by power of attorney for Markos I. Tambakeras 2022-02-07