0000899243-15-000631.txt : 20150706 0000899243-15-000631.hdr.sgml : 20150703 20150706203937 ACCESSION NUMBER: 0000899243-15-000631 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150701 FILED AS OF DATE: 20150706 DATE AS OF CHANGE: 20150706 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Baxalta Inc CENTRAL INDEX KEY: 0001620546 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 471869689 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE BAXTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 224-948-2000 MAIL ADDRESS: STREET 1: ONE BAXTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAW ANNE-MARIE CENTRAL INDEX KEY: 0001409438 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36782 FILM NUMBER: 15975054 MAIL ADDRESS: STREET 1: C/O BAXALTA INC., ONE BAXTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60615 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-07-01 0 0001620546 Baxalta Inc BXLT 0001409438 LAW ANNE-MARIE C/O BAXALTA INCORPORATED ONE BAXTER PARKWAY DEERFIELD IL 60015 0 1 0 0 EVP & Head of Human Resources Common Stock, par value $0.01 per share 2015-07-01 4 J 0 56818 0.00 A 56818 D Stock Option (Right to Buy) 32.29 2015-07-01 4 J 0 75835 0.00 A 2025-03-02 Common Stock, par value $0.01 per share 75835 75835 D Stock Option (Right to Buy) 32.04 2015-07-01 4 J 0 77146 0.00 A 2025-03-03 Common Stock, par value $0.01 per share 77146 77146 D Stock Option (Right to Buy) 31.50 2015-07-01 4 A 0 23447 0.00 A 2025-07-01 Common Stock, par value $0.01 per share 23447 23447 D Represents restricted stock units granted by Baxalta to the reporting person as a result of the adjustment of existing Baxter restricted stock units held by the reporting person prior to the spin-off (the "Spin-off") of Baxalta from Baxter International Inc. ("Baxter"). These restricted stock units vest on the schedule set forth in the original grant agreement. Represents options to purchase shares of Baxalta common stock granted to the reporting person as a result of adjustments to existing Baxter stock options made in connection with the Spin-Off. This option will vest in three equal annual installments beginning on March 2, 2016, the first anniversary of the grant date of the existing option award. This option will vest in three equal annual installments beginning on March 3, 2016, the first anniversary of the grant date of the existing option award. This option will vest in three equal annual installments beginning on July 1, 2016. /s/ Stephanie D. Miller, as attorney-in-fact for Anne-Marie Law 2015-07-06