0001140361-12-042331.txt : 20121002 0001140361-12-042331.hdr.sgml : 20121002 20121002152927 ACCESSION NUMBER: 0001140361-12-042331 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120928 FILED AS OF DATE: 20121002 DATE AS OF CHANGE: 20121002 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: 001-11625 FILM NUMBER: 121123180 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 2012-09-28 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 2012-09-28 4 D 0 2936 D 0 D Common Stock - Deferral Plan 2012-09-28 4 D 0 1338.284 D 0 I Plan Agent Phantom Stock Units (Deferred Compensation) 2012-09-28 4 D 0 7150.332 D Common Stock 7150.332 0 I Plan Agent Nonqualified Stock Option (right to buy) 34.58 2012-09-28 4 D 0 10000 D 2008-10-23 2017-10-23 Common Stock 10000 0 D Nonqualified Stock Option (right to buy) 34.18 2012-09-28 4 D 0 10000 D 2009-01-02 2018-01-02 Common Stock 10000 0 D Nonqualified Stock Option (right to buy) 24.78 2012-09-28 4 D 0 17200 D 2010-01-02 2019-01-02 Common Stock 17200 0 D Nonqualified Stock Option (right to buy) 33.38 2012-09-28 4 D 0 6140 D 2011-01-04 2020-01-04 Common Stock 6140 0 D Nonqualified Stock Option (right to buy) 36.98 2012-09-28 4 D 0 4242 D 2012-01-03 2021-01-03 Common Stock 4242 0 D Nonqualified Stock Option (right to buy) 34.12 2012-09-28 4 D 0 6332 D 2013-01-03 2022-01-03 Common Stock 6332 0 D Common stock and derivative securities of Pentair, Inc. ("the Issuer") were disposed pursuant to the Merger Agreement, dated as of March 27, 2012, as amended, among the Issuer, Tyco International Ltd., Pentair Ltd. (formerly known as Tyco Flow Control International Ltd.), Panthro Acquisition Co. and Panthro Merger Sub, Inc. Upon closing of the merger, the Issuer became a wholly owned subsidiary of Pentair Ltd., and each share of Issuer common stock was converted into one Pentair Ltd. common share. Derivative securities relating to Issuer common stock were converted into derivative securities relating to an equal number of Pentair Ltd. common shares with the same terms and conditions (including vesting schedule and exercise price, if applicable). 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 transactions not required to be reported pursuant to Section 16(a). Phantom stock units convert into common stock on a one-for-one basis. Settlement of phantom stock units will be in Pentair common stock in accordance with reporting person's irrevocable election. 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 2012-10-02