0001140361-12-001397.txt : 20120105 0001140361-12-001397.hdr.sgml : 20120105 20120105180352 ACCESSION NUMBER: 0001140361-12-001397 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120103 FILED AS OF DATE: 20120105 DATE AS OF CHANGE: 20120105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURRIS JERRY W CENTRAL INDEX KEY: 0001368731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-04689 FILM NUMBER: 12512464 MAIL ADDRESS: STREET 1: 123 MAIN STREET CITY: BRISTOL STATE: CT ZIP: 06011-0489 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENTAIR INC CENTRAL INDEX KEY: 0000077360 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY (NO METALWORKING MACHINERY) [3550] IRS NUMBER: 410907434 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5500 WAYZATA BLVD. STREET 2: SUITE 800 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 BUSINESS PHONE: 763-545-1730 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD. STREET 2: SUITE 800 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 FORMER COMPANY: FORMER CONFORMED NAME: PENTAIR INDUSTRIES INC DATE OF NAME CHANGE: 19790327 4 1 doc1.xml FORM 4 X0304 4 2012-01-03 0 0000077360 PENTAIR INC PNR 0001368731 BURRIS JERRY W 5500 WAYZATA BLVD., SUITE 800 GOLDEN VALLEY MN 55416 1 0 0 0 Common Stock - Restricted Stock Units 2012-01-03 4 A 0 1700 0 A 2936 D Common Stock - Deferral Plan 1317.154 I Plan Agent Nonqualified Stock Option (right to buy) 34.12 2012-01-03 4 A 0 6332 0 A 2013-01-03 2022-01-03 Common Stock 6332 6332 D Restricted stock units granted pursuant to and subject to a vesting condition of the Pentair, Inc. 2008 Omnibus Stock Incentive Plan, as Amended and Restated. Each restricted stock unit represents a right to receive one share of Pentair, Inc. common stock upon vesting. Vested shares of Pentair, Inc. common stock will be delivered to the reporting person in accordance with their irrevocable deferral election. End-of-period holdings reflect the vesting of restricted stock units that were previously reported. Shares of Pentair, Inc. common stock will be delivered to the reporting person in accordance with their irrevocable deferral election. End-of-period holdings include shares acquired under a dividend reinvestment plan in exempt transaction not required to be reported pursuant to Section 16(a). Nonqualified stock option granted under the Pentair, Inc. 2008 Omnibus Stock Incentive Plan, as Amended and Restated. One-third of the stock options become exercisable on the first, second, and third anniversary of the grant. /s/ John K. Wilson, Attorney-in-Fact for Jerry W. Burris 2012-01-05