0001209191-19-012744.txt : 20190222 0001209191-19-012744.hdr.sgml : 20190222 20190222175343 ACCESSION NUMBER: 0001209191-19-012744 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190220 FILED AS OF DATE: 20190222 DATE AS OF CHANGE: 20190222 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: 19627527 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-02-20 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 Comon Stock 2019-02-20 4 A 0 5738 0.00 A 28517 D Common Stock 497.23 I by 401(k) Employee Stock Options (Right to Buy) 74.07 2019-02-20 4 A 0 24912 0.00 A 2029-02-20 Common Stock 24912 24912 D Reflects an award of restricted stock units which are scheduled to vest in three equal annual installments beginning on February 20, 2020. Additional shares also accrued through a qualified DRIP. As of February 20, 2019 These options vest in three equal annual installments beginning on February 20, 2020. /s/ Kimberly Rehm, by power of attorney for E. Mark Rajkowski 2019-02-22 EX-24 2 attachment1.htm EX-24 DOCUMENT

The undersigned, E. Mark Rajkowski, does hereby nominate, constitute and appoint
each of Kelly O'Shea, Juliene Patton, Kimberly Rehm and Claudia Toussaint as his
true and lawful attorney and agent to do any and all acts and things and execute
and file any and all instruments which said attorneys and agents may deem
necessary or advisable to enable the undersigned (in his individual capacity or
in any other capacity) to comply with the Securities Exchange Act of 1934 (the
"34 Act") and the Securities Act of 1933 (the "33 Act") and any requirements of
the Securities and Exchange Commission (the "SEC") in respect thereof, in
connection with the preparation, execution and/or filing of (i) any report or
statement of beneficial ownership or changes in beneficial ownership of
securities of Xylem Inc., an Indiana corporation (the "Company"), that the
undersigned (in his individual capacity or in any other capacity) may be
required to file pursuant to Section 16(a) of the 34 Act, including any report
or statement on Form 3, Form 4 or Form 5, or to any amendment thereto, (ii) any
report or notice required under Rule 144 of the 33 Act, including Form 144, or
any amendment thereto, and (iii) any and all other documents or instruments that
may be necessary or desirable in connection with or in furtherance of any of the
foregoing, including Form ID, or any amendments thereto, and any other documents
necessary or appropriate to obtain codes and passwords enabling the undersigned
to make electronic filings with the SEC of reports required pursuant to Section
16(a) of the 34 Act or any rule or regulation of the SEC, such power and
authority to extend to any form or forms adopted by the SEC in lieu of or in
addition to any of the foregoing and to include full power and authority to sign
the undersigned's name in his individual capacity or otherwise, hereby ratifying
and confirming all that said attorneys and agents, or any of them, shall do or
cause to be done by virtue thereof.
This authorization shall supersede all prior authorizations to act for the
undersigned with respect to securities of the Company in such matters, which
prior authorizations are hereby revoked, and shall remain in effect until the
undersigned is no longer required to file Form 3, 4 or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company
unless earlier revoked, by the undersigned in a signed writing delivered to the
foregoing attorneys in fact.
IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of January 2019.