0001209191-19-015487.txt : 20190304 0001209191-19-015487.hdr.sgml : 20190304 20190304154637 ACCESSION NUMBER: 0001209191-19-015487 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190301 FILED AS OF DATE: 20190304 DATE AS OF CHANGE: 20190304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McShane Geri-Michelle CENTRAL INDEX KEY: 0001769064 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35229 FILM NUMBER: 19653574 MAIL ADDRESS: STREET 1: C/O XYLEM INC. STREET 2: 1 INTERNATIONAL DRIVE CITY: RYE BROOK STATE: NY ZIP: 10573 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-03-01 0 0001524472 Xylem Inc. XYL 0001769064 McShane Geri-Michelle C/O XYLEM INC. 1 INTERNATIONAL DRIVE RYE BROOK NY 10573 0 1 0 0 Chief Accounting Officer Common Stock 1197 D Employee Stock Option (Right to Buy) 48.33 2027-02-21 Common Stock 1643 D Employee Stock Option (Right to Buy) 75.18 2028-02-21 Common Stock 1019 D Employee Stock Option (Right to Buy) 74.07 2029-02-20 Common Stock 2198 D Includes 416 shares of common stock of Xylem Inc., and 781 restricted stock units scheduled to vest as follows: 198 on February 21, 2020, 169 on February 20, 2020, 77 on February 21, 2021 and 169 on February 20, 2021 and 168 on Feb 20, 2022. Each restricted stock unit represents the right to receive one share of common stock upon vesting 548 options are fully vested and exercisable and 547 are scheduled to vest on February 21, 2020 340 options are fully vested and exercisable. 340 options are scheduled to vest on February 21, 2020 and 339 options are scheduled to vest on February 21, 2021. These options will vest in three equal parts on February 20, 2020, February 20, 2021 and February 20, 2022. /s/: Kimberly Rehm, by power of attorney for Geri-Michelle McShane 2019-03-04 EX-24 2 attachment1.htm EX-24 DOCUMENT

The undersigned, Geri-michelle McShane, does hereby nominate, constitute and
appoint each of Claudia Toussaint, Kelly O'Shea, Juliene Patton and Kimberly
Rehm as her 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 her 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 her 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 relating to the undersigned's role with, or beneficial
ownership of, the Company's securities, 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 her
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 30th day of January 2019.