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