0001645572-16-000007.txt : 20161206 0001645572-16-000007.hdr.sgml : 20161206 20161206160852 ACCESSION NUMBER: 0001645572-16-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161202 FILED AS OF DATE: 20161206 DATE AS OF CHANGE: 20161206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BAXTER INTERNATIONAL INC CENTRAL INDEX KEY: 0000010456 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 360781620 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE BAXTER PKWY STREET 2: DF2-1W CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 8479482000 MAIL ADDRESS: STREET 1: ONE BAXTER PARKWAY STREET 2: DF2-1W CITY: DEERFIELD STATE: IL ZIP: 60015 FORMER COMPANY: FORMER CONFORMED NAME: BAXTER TRAVENOL LABORATORIES INC DATE OF NAME CHANGE: 19880522 FORMER COMPANY: FORMER CONFORMED NAME: BAXTER LABORATORIES INC DATE OF NAME CHANGE: 19760608 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eyre Brik V CENTRAL INDEX KEY: 0001645572 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04448 FILM NUMBER: 162036395 MAIL ADDRESS: STREET 1: ONE BAXTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-12-02 0000010456 BAXTER INTERNATIONAL INC BAX 0001645572 Eyre Brik V ONE BAXTER PARKWAY DEERFIELD IL 60015 0 1 0 0 CVP, Hospital Products Common Stock, $1 par value 2016-12-02 4 F 0 1226 44.01 D 37184 D Common Stock, $1 par value 2016-12-02 4 F 0 295 44.01 D 36889 D Represents the number of shares forfeited by the reporting person to cover the payment of taxes incurred as a result of vesting of restricted stock granted on December 2, 2013. Represents the number of shares forfeited by the reporting person to cover the payment of taxes incurred as a result of partial vesting of restricted stock granted on December 2, 2013. /s/ Ellen K. McIntosh, as attorney-in-fact for Brik V. Eyre 2016-12-06