0001209191-20-009155.txt : 20200213 0001209191-20-009155.hdr.sgml : 20200213 20200213155824 ACCESSION NUMBER: 0001209191-20-009155 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200213 DATE AS OF CHANGE: 20200213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LORANGER STEVEN R CENTRAL INDEX KEY: 0001226924 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 20610243 MAIL ADDRESS: STREET 1: XYLEM. INC. 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 2019-12-31 0 0 0 0001524472 Xylem Inc. XYL 0001226924 LORANGER STEVEN R 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 1 0 0 0 Common Stock 2019-11-14 5 G 0 18475 0.00 D 102443 I Steven R. Loranger Revocable Trust Common Stock 41808 D On November 14, 2019, 18,475 shares of Xylem Inc. common stock were transferred from the Steven R Loranger Revocable Trust to the Steve and Betsy Loranger Foundation. Includes 30,688 shares of common stock of Xylem Inc., and 11,120 deferred restricted stock units scheduled to vest when Mr. Loranger retires from the Xylem Board of Directors. Each restricted stock unit represents the right to receive one share of common stock upon vesting. /s/ Kimberly Rehm, by power of attorney for Steven R. Loranger 2020-02-13