0001209191-16-118193.txt : 20160506 0001209191-16-118193.hdr.sgml : 20160506 20160506174440 ACCESSION NUMBER: 0001209191-16-118193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160505 FILED AS OF DATE: 20160506 DATE AS OF CHANGE: 20160506 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAJKOWSKI E MARK CENTRAL INDEX KEY: 0001258268 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 161629402 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-05-05 0 0001524472 Xylem Inc. XYL 0001258268 RAJKOWSKI E MARK 1 INTERNATIONAL DRIVE C/O XYLEM INC. RYE BROOK NY 10573 0 1 0 0 SVP, CFO Common Stock 2016-05-05 4 A 0 9030 0.00 A 9030 D Common Stock 2016-05-05 4 A 0 4816 0.00 A 13846 D Employee Stock Options (Right to Buy) 41.53 2016-05-05 4 A 0 40453 0.00 A 2026-02-24 Common Stock 40453 40453 D Restricted stock units scheduled to vest in three equal annual installments beginning on February 24, 2017. Each restricted stock unit represents the right to receive one share of common stock upon vesting. Restricted stock units scheduled to vest in three equal annual installments beginning on May 5, 2017. Each restricted stock unit represents the right to receive one share of common stock upon vesting. These options vest in three equal annual installments beginning on February 24, 2017. /s/ Juliene Patton, by power of attorney for E. Mark Rajkowski 2016-05-06