FORM 4 |
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION |
OMB APPROVAL |
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 |
OMB
Number: 3235-0287 Filed By Romeo & Dye's Instant Form 4 Filer |
1. Name and Address of Reporting Person* Jeharajah, Neville J. |
2. Issuer Name and
Ticker or Trading Symbol |
6. Relationship of
Reporting Person(s) Corporate Vice President |
||
(Last) (First) (Middle) Baxter International Inc. |
3. I.R.S. Identification
Number
|
4. Statement for Month/Day/Year 11/08/2002 |
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(Street) Deerfield, IL 60015 |
5. If Amendment, Date of Original (Month/Day/Year) |
7. Individual
or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security |
2. Trans- |
2A. Deemed |
3. Trans- |
4. Securities Acquired
(A) or Disposed of (D) |
5. Amount of |
6. Owner- |
7. Nature of Indirect
|
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Code |
V |
Amount |
(A) |
Price |
||||||
Common Stock, $1 par value |
|
|
|
|
|
|
|
115,457 |
D |
|
Common Stock, $1 par value |
|
|
|
|
|
|
|
4294 |
I |
By 401(K) |
Common Stock, $1 par value |
|
|
|
|
|
|
|
200 |
I |
By Child #1 |
Common Stock, $1 par value |
|
|
|
|
|
|
|
200 |
I |
By Child #2 |
Common Stock, $1 par value |
|
|
|
|
|
|
|
200 |
I |
By Child #3 |
Common Stock, $1 par value |
|
|
|
|
|
|
|
2,028 |
I |
By Spouse |
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). 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 |
FORM 4 (continued) |
Table II -
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Derivative
Security |
2. Conver- |
3. Trans- |
3A. Deemed Execution Date, if any (Month/ Day/ Year) |
4. Trans- |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable |
7. Title and Amount
of Underlying Securities |
8. Price of Derivative
Security |
9. Number of |
10. Owner- |
11. Nature of Indirect
Beneficial Ownership |
||||
Code |
V |
(A) |
(D) |
Date Exer-cisable |
Expira- |
Title |
Amount or Number
of |
||||||||
Deferred Compensation Plan - Baxter Stock Fund(1) | 11/08/2002 |
|
A |
|
57.9(3) |
|
Common Stock, $1 par value (6) |
57.9(7) |
8089(9) |
D |
|
Explanation of Responses: (1) Reporting person allocated compensation deferred under Baxter's Deferred Compensation Plan ("Plan") to the Baxter Common Stock Fund notional investment alternative. The value of the reporting person's Plan account is based on the performance of the Baxter Common Stock Fund and any other benchmark investment funds selected by the reporting person. Amounts deferred are not actually invested in the Baxter Common Stock Fund or Baxter common stock. |
By: /s/ William M. Link, Attorney-in-Fact for Neville J. Jeharajah **Signature of Reporting Person |
11/12/2002 Date |
**Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. Note: File three
copies of this Form, one of which must be manually signed. 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.
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