0001209191-21-032362.txt : 20210513 0001209191-21-032362.hdr.sgml : 20210513 20210513163751 ACCESSION NUMBER: 0001209191-21-032362 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210512 FILED AS OF DATE: 20210513 DATE AS OF CHANGE: 20210513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOHAPATRA SURYA N CENTRAL INDEX KEY: 0001222671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 21920234 MAIL ADDRESS: STREET 1: 3 GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 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 2021-05-12 0 0001524472 Xylem Inc. XYL 0001222671 MOHAPATRA SURYA N 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 1 0 0 0 Common Stock 2021-05-12 4 A 0 1328 0.00 A 41152 D Reflects the award of restricted stock units, which are scheduled to vest on the business day prior to the Xylem Inc. 2022 annual shareholders' meeting. /s/ Kimberly Rehm, by power of attorney for Surya N. Mohapatra 2021-05-13