0000899243-15-000617.txt : 20150706 0000899243-15-000617.hdr.sgml : 20150703 20150706202348 ACCESSION NUMBER: 0000899243-15-000617 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: Edwards Peter G CENTRAL INDEX KEY: 0001578376 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36782 FILM NUMBER: 15974999 MAIL ADDRESS: STREET 1: 675 MCDONNELL BLVD. CITY: HAZELWOOD STATE: MO ZIP: 63042 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-07-01 0 0001620546 Baxalta Inc BXLT 0001578376 Edwards Peter G C/O BAXALTA INCORPORATED ONE BAXTER PARKWAY DEERFIELD IL 60015 0 1 0 0 EVP and General Counsel Common Stock, par value $0.01 per share 2015-07-01 4 J 0 182540 0.00 A 182540 D Stock Option (Right to Buy) 31.50 2015-07-01 4 A 0 76202 0.00 A 2025-07-01 Common Stock, par value $0.01 per share 76202 76202 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. This option will vest in three equal annual installments beginning on July 1, 2016. /s/ Stephanie D. Miller, as attorney-in-fact for Peter Edwards 2015-07-06