0001209191-21-006383.txt : 20210201
0001209191-21-006383.hdr.sgml : 20210201
20210201105927
ACCESSION NUMBER: 0001209191-21-006383
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201231
FILED AS OF DATE: 20210201
DATE AS OF CHANGE: 20210201
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: 21575349
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: 914-323-5700
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
2020-12-31
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
2020-11-18
5
G
0
13545
0.00
D
58898
I
Steven R Loranger Revokable Trust
Common Stock
15172
D
On November 18, 2020, 13,545 shares of Xylem Inc. common stock were transferred from the Steven R Loranger Revocable Trust to the Steve and Betsy Loranger Foundation.
Includes 15,172 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
2021-02-01