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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Phantom Stock Units (Deferred Compensation) | (4) | 09/28/2012 | A(1) | 7,150.332 | (5) | (5) | Common Shares | 7,150.332 | (1) | 7,150.332 | I | Plan Agent | |||
Nonqualified Stock Option (right to buy) | $ 34.58 | 09/28/2012 | A(1) | 10,000 | (6) | 10/23/2017 | Common Shares | 10,000 | (1) | 10,000 | D | ||||
Nonqualified Stock Option (right to buy) | $ 34.18 | 09/28/2012 | A(1) | 10,000 | (6) | 01/02/2018 | Common Shares | 10,000 | (1) | 10,000 | D | ||||
Nonqualified Stock Option (right to buy) | $ 24.78 | 09/28/2012 | A(1) | 17,200 | (6) | 01/02/2019 | Common Shares | 17,200 | (1) | 17,200 | D | ||||
Nonqualified Stock Option (right to buy) | $ 33.38 | 09/28/2012 | A(1) | 6,140 | (6) | 01/04/2020 | Common Shares | 6,140 | (1) | 6,140 | D | ||||
Nonqualified Stock Option (right to buy) | $ 36.98 | 09/28/2012 | A(1) | 4,242 | (6) | 01/03/2021 | Common Shares | 4,242 | (1) | 4,242 | D | ||||
Nonqualified Stock Option (right to buy) | $ 34.12 | 09/28/2012 | A(1) | 6,332 | 09/28/2012(6) | 01/03/2022 | Common Shares | 6,332 | (1) | 6,332 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BURRIS JERRY W 5500 WAYZATA BLVD., SUITE 800 GOLDEN VALLEY, MN 55416 |
X |
/s/ John K. Wilson, Attorney-in-Fact for Jerry W. Burris | 10/02/2012 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Common stock and derivative securities of Pentair Ltd. ("the Issuer") were acquired pursuant to the Merger Agreement, dated as of March 27, 2012, as amended, among Pentair, Inc., Tyco International Ltd., the Issuer, Panthro Acquisition Co. and Panthro Merger Sub, Inc. Upon closing of the merger, Pentair, Inc. became a wholly owned subsidiary of the Issuer, and each share of Pentair, Inc. common stock was converted into one Issuer common share. Derivative securities relating to Pentair, Inc. common stock were converted into derivative securities relating to an equal number of Issuer common shares with the same terms and conditions (including vesting schedule and exercise price, if applicable). |
(2) | Includes 2,936 shares issued in settlement of restricted stock units that vested in connection with the closing of the merger. |
(3) | Pentair common shares will be delivered to the reporting person in accordance with their irrevocable deferral election. |
(4) | Phantom stock units convert into common shares on a one-for-one basis. |
(5) | Settlement of phantom stock units will be in Pentair common shares in accordance with reporting person's irrevocable election. |
(6) | All options are vested and exercisable. |
Remarks: Issuer Name and Ticker Symbol: Pentair Ltd. [PNR] |