0001140361-12-040265.txt : 20120913 0001140361-12-040265.hdr.sgml : 20120913 20120913144013 ACCESSION NUMBER: 0001140361-12-040265 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120912 FILED AS OF DATE: 20120913 DATE AS OF CHANGE: 20120913 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: 121089899 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 X0306 4 2012-09-12 0 0000077360 PENTAIR INC PNR 0001368731 BURRIS JERRY W 5500 WAYZATA BLVD., SUITE 800 GOLDEN VALLEY MN 55416 1 0 0 0 Phantom Stock Units (Deferred Compensation) 2012-09-12 4 A 0 129.945 43.512 A Common Stock 129.945 7150.332 I Plan Agent Phantom stock units convert into common stock on a one-for-one basis. Represents phantom stock units credited under a deferred compensation plan for non-employee directors over which the reporting person has no current dispositive or voting power. Settlement of phantom stock units will be in Pentair common stock in accordance with reporting person's irrevocable election. Shares acquired under this Plan are purchased over a three-day trading period. The price shown is the average purchase price over the trading period. /s/ John K. Wilson, Attorney-in-Fact for Jerry W. Burris 2012-09-13