| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | ||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
BAXTER INTERNATIONAL INC [ BAX ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 04/05/2021 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Common Stock, $1 par value | 04/05/2021 | M(5) | 4,990 | A | $31.26 | 30,389 | D | |||
| Common Stock, $1 par value | 04/05/2021 | S | 4,990 | D | $84.56(6) | 25,399 | D | |||
| Common Stock, $1 par value | 560 | I | Held by Spouse | |||||||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Stock Option (Right to Buy) | $69.45 | 01/06/2021 | G(1) | 6,437 | (2) | 05/08/2028 | Common Stock, $1 par value | 6,437 | $0 | 0 | D | ||||
| Stock Option (Right to Buy) | $69.45 | 01/06/2021 | G(1) | 6,437 | (2) | 05/08/2028 | Common Stock, $1 par value | 6,437 | $0 | 6,437 | I | Held by Peter S. Hellman Dynasty Trust | |||
| Stock Option (Right to Buy) | $76.69 | 01/06/2021 | G(1) | 6,138 | (3) | 05/07/2029 | Common Stock, $1 par value | 6,138 | $0 | 0 | D | ||||
| Stock Option (Right to Buy) | $76.69 | 01/06/2021 | G(1) | 6,138 | (3) | 05/07/2029 | Common Stock, $1 par value | 6,138 | $0 | 6,138 | I | Held by Peter S. Hellman Dynasty Trust | |||
| Stock Option (Right to Buy) | $88.74 | 01/06/2021 | G(1) | 5,293 | (4) | 05/03/2030 | Common Stock, $1 par value | 5,293 | $0 | 0 | D | ||||
| Stock Option (Right to Buy) | $88.74 | 01/06/2021 | G(1) | 5,293 | (4) | 05/03/2030 | Common Stock, $1 par value | 5,293 | $0 | 5,293 | I | Held by Peter S. Hellman Dynasty Trust | |||
| Stock Option (Right to Buy) | $31.26 | 04/05/2021 | M(5) | 4,990 | 05/08/2012 | 05/03/2021 | Common Stock, $1 par value | 4,990 | $0 | 0 | D | ||||
| Explanation of Responses: |
| 1. Represents the bona fide gifts of options granted to Mr. Hellman by Baxter International Inc. ("BII") to the Peter S. Hellman Dynasty Trust for the benefit of Mr. Hellman's immediate family. |
| 2. The options are granted 05/08/2018, are fully vested, subject to the terms and conditions of the applicable grant. |
| 3. The options graned 05/07/2019, are fully vested, subject to the terms and conditions of the applicable grant. |
| 4. The options granted 05/05/2020, are fully vested, subject to the terms and conditions of the applicable grant. |
| 5. Transaction effected pursuant to a Rule 10b5-1 trading plan entered into by Mr. Hellman with respect to certain vested stock options previously granted by BII to Mr. Hellman. |
| 6. Price reflects weighted average sales price. Range of prices for transactions are $84.34 through $84.75. Full information regarding the number of shares sold at each separate price will be provided by BII upon request. |
| /s/ Matthew Rice, as attorney in-fact for Peter S. Hellman | 04/07/2021 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||