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