401k Plan data: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES plan

XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 401k Plan overview

Plan Name	XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES
Plan identification number	028

XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily flat dollar (includes dollars per year of service) Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

XYLEM INC. has sponsored the creation of one or more 401k plans.

Company Name: XYLEM INC.

Employer identification number (EIN): 452080495

NAIC Classification: 333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
028 2016-01-01 CHRISTOPHER LOGAN
028 2015-01-01 COLLEEN FRANKE GERI MCSHANE 2016-10-13
028 2014-01-01 MABLE THOMAS JOHN P. CONNOLLY 2015-10-12
028 2013-01-01 COLLEEN FRANKE JOHN P. CONNOLLY 2014-10-13
028 2012-01-01 COLLEEN FRANKE
028 2011-01-01 GLORIA WALSH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
028	2016-01-01	CHRISTOPHER LOGAN
028	2015-01-01	COLLEEN FRANKE	GERI MCSHANE	2016-10-13
028	2014-01-01	MABLE THOMAS	JOHN P. CONNOLLY	2015-10-12
028	2013-01-01	COLLEEN FRANKE	JOHN P. CONNOLLY	2014-10-13
028	2012-01-01	COLLEEN FRANKE
028	2011-01-01	GLORIA WALSH

Plan Statistics for XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES

401k plan membership statisitcs for XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES

Measure Date Value
2016: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2016 401k membership
Market value of plan assets 2016-12-31 29,609,591
Acturial value of plan assets 2016-12-31 31,940,110
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 20,461,426
Number of terminated vested participants 2016-12-31 84
Fundng target for terminated vested participants 2016-12-31 1,593,116
Active participant vested funding target 2016-12-31 11,689,634
Number of active participants 2016-12-31 270
Total funding liabilities for active participants 2016-12-31 11,904,942
Total participant count 2016-12-31 765
Total funding target for all participants 2016-12-31 33,959,484
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 320
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 340
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 0
Total employer contributions 2016-12-31 7,679,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 7,043,537
Liquidity shortfalls end of Q1 2016-12-31 0
Liquidity shortfalls end of Q2 2016-12-31 0
Liquidity shortfalls end of Q3 2016-12-31 0
Liquidity shortfalls end of Q4 2016-12-31 0
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 1,046,855
Net shortfall amortization installment of oustanding balance 2016-12-31 2,019,374
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 1,603,007
Additional cash requirement 2016-12-31 1,603,007
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 7,043,537
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
Total participants, beginning-of-year 2016-01-01 765
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2015 401k membership
Total participants, beginning-of-year 2015-01-01 772
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 270
Number of retired or separated participants receiving benefits 2015-01-01 333
Number of other retired or separated participants entitled to future benefits 2015-01-01 79
Total of all active and inactive participants 2015-01-01 682
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 83
Total participants 2015-01-01 765
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2014 401k membership
Total participants, beginning-of-year 2014-01-01 799
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 295
Number of retired or separated participants receiving benefits 2014-01-01 315
Number of other retired or separated participants entitled to future benefits 2014-01-01 77
Total of all active and inactive participants 2014-01-01 687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 84
Total participants 2014-01-01 771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 807
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 324
Number of retired or separated participants receiving benefits 2013-01-01 302
Number of other retired or separated participants entitled to future benefits 2013-01-01 83
Total of all active and inactive participants 2013-01-01 709
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 90
Total participants 2013-01-01 799
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 798
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 327
Number of retired or separated participants receiving benefits 2012-01-01 305
Number of other retired or separated participants entitled to future benefits 2012-01-01 90
Total of all active and inactive participants 2012-01-01 722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 85
Total participants 2012-01-01 807
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 810
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 328
Number of retired or separated participants receiving benefits 2011-01-01 291
Number of other retired or separated participants entitled to future benefits 2011-01-01 98
Total of all active and inactive participants 2011-01-01 717
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 81
Total participants 2011-01-01 798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1

Measure	Date	Value
2016: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2016 401k membership
Market value of plan assets	2016-12-31	29,609,591
Acturial value of plan assets	2016-12-31	31,940,110
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	20,461,426
Number of terminated vested participants	2016-12-31	84
Fundng target for terminated vested participants	2016-12-31	1,593,116
Active participant vested funding target	2016-12-31	11,689,634
Number of active participants	2016-12-31	270
Total funding liabilities for active participants	2016-12-31	11,904,942
Total participant count	2016-12-31	765
Total funding target for all participants	2016-12-31	33,959,484
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	320
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	340
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Total employer contributions	2016-12-31	7,679,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	7,043,537
Liquidity shortfalls end of Q1	2016-12-31	0
Liquidity shortfalls end of Q2	2016-12-31	0
Liquidity shortfalls end of Q3	2016-12-31	0
Liquidity shortfalls end of Q4	2016-12-31	0
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	1,046,855
Net shortfall amortization installment of oustanding balance	2016-12-31	2,019,374
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	1,603,007
Additional cash requirement	2016-12-31	1,603,007
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	7,043,537
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
Total participants, beginning-of-year	2016-01-01	765
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2015 401k membership
Total participants, beginning-of-year	2015-01-01	772
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	270
Number of retired or separated participants receiving benefits	2015-01-01	333
Number of other retired or separated participants entitled to future benefits	2015-01-01	79
Total of all active and inactive participants	2015-01-01	682
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	83
Total participants	2015-01-01	765
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2014 401k membership
Total participants, beginning-of-year	2014-01-01	799
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	295
Number of retired or separated participants receiving benefits	2014-01-01	315
Number of other retired or separated participants entitled to future benefits	2014-01-01	77
Total of all active and inactive participants	2014-01-01	687
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	84
Total participants	2014-01-01	771
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	807
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	324
Number of retired or separated participants receiving benefits	2013-01-01	302
Number of other retired or separated participants entitled to future benefits	2013-01-01	83
Total of all active and inactive participants	2013-01-01	709
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	90
Total participants	2013-01-01	799
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	798
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	327
Number of retired or separated participants receiving benefits	2012-01-01	305
Number of other retired or separated participants entitled to future benefits	2012-01-01	90
Total of all active and inactive participants	2012-01-01	722
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	85
Total participants	2012-01-01	807
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	810
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	328
Number of retired or separated participants receiving benefits	2011-01-01	291
Number of other retired or separated participants entitled to future benefits	2011-01-01	98
Total of all active and inactive participants	2011-01-01	717
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	81
Total participants	2011-01-01	798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1

Financial Data on XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES

Measure	Date	Value
2016 : XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$30,897,844
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$43,960
Total income from all sources (including contributions)	2016-12-31	$3,545,112
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,268,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,268,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,679,000
Value of total assets at end of year	2016-12-31	$0
Value of total assets at beginning of year	2016-12-31	$29,665,522
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$0
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$43,960
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,276,282
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$29,621,562
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in master investment trust accounts at end of year	2016-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$28,998,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,679,000
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$667,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,268,830
Did the plan have assets held for investment	2016-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2016-12-31	350921680
2015 : XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$43,960
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$41,776
Total income from all sources (including contributions)	2015-12-31	$526,241
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,136,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,136,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,873,000
Value of total assets at end of year	2015-12-31	$29,665,522
Value of total assets at beginning of year	2015-12-31	$31,273,850
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Liabilities. Value of operating payables at end of year	2015-12-31	$43,960
Liabilities. Value of operating payables at beginning of year	2015-12-31	$41,776
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,610,512
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$29,621,562
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$31,232,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in master investment trust accounts at end of year	2015-12-31	$28,998,522
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$30,605,850
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,873,000
Employer contributions (assets) at end of year	2015-12-31	$667,000
Employer contributions (assets) at beginning of year	2015-12-31	$668,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,136,753
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2015-12-31	350921680
2014 : XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$41,776
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$33,845
Total income from all sources (including contributions)	2014-12-31	$2,996,179
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,961,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,961,593
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,871,000
Value of total assets at end of year	2014-12-31	$31,273,850
Value of total assets at beginning of year	2014-12-31	$30,231,333
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Liabilities. Value of operating payables at end of year	2014-12-31	$41,776
Liabilities. Value of operating payables at beginning of year	2014-12-31	$33,845
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,034,586
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$31,232,074
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$30,197,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in master investment trust accounts at end of year	2014-12-31	$30,605,850
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$29,396,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,871,000
Employer contributions (assets) at end of year	2014-12-31	$668,000
Employer contributions (assets) at beginning of year	2014-12-31	$835,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,961,593
Did the plan have assets held for investment	2014-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2014-12-31	350921680
2013 : XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$33,845
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$73,853
Total income from all sources (including contributions)	2013-12-31	$5,073,674
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,898,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,898,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,905,013
Value of total assets at end of year	2013-12-31	$30,231,333
Value of total assets at beginning of year	2013-12-31	$27,095,745
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$20,013
Liabilities. Value of operating payables at end of year	2013-12-31	$33,845
Liabilities. Value of operating payables at beginning of year	2013-12-31	$73,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$3,175,596
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$30,197,488
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$27,021,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in master investment trust accounts at end of year	2013-12-31	$29,396,333
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$26,636,745
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,885,000
Employer contributions (assets) at end of year	2013-12-31	$835,000
Employer contributions (assets) at beginning of year	2013-12-31	$459,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,898,078
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2013-12-31	350921680
2012 : XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$73,853
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$46,883
Total income from all sources (including contributions)	2012-12-31	$3,628,445
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,854,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,854,789
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,089,000
Value of total assets at end of year	2012-12-31	$27,095,745
Value of total assets at beginning of year	2012-12-31	$25,295,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$47,663
Liabilities. Value of operating payables at end of year	2012-12-31	$73,853
Liabilities. Value of operating payables at beginning of year	2012-12-31	$46,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,773,656
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$27,021,892
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$25,248,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in master investment trust accounts at end of year	2012-12-31	$26,636,745
Value of interest in master investment trust accounts at beginning of year	2012-12-31	$24,073,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,089,000
Employer contributions (assets) at end of year	2012-12-31	$459,000
Employer contributions (assets) at beginning of year	2012-12-31	$1,174,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,854,789
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CROWE HORWATH LLP
Accountancy firm EIN	2012-12-31	350921680
2011 : XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$46,883
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$46,559
Total income from all sources (including contributions)	2011-12-31	$1,883,452
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,753,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,753,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,816,000
Value of total assets at end of year	2011-12-31	$25,295,119
Value of total assets at beginning of year	2011-12-31	$25,165,277
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$47,663
Liabilities. Value of operating payables at end of year	2011-12-31	$46,883
Liabilities. Value of operating payables at beginning of year	2011-12-31	$46,559
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$129,518
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$25,248,236
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$25,118,718
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in master investment trust accounts at end of year	2011-12-31	$24,073,456
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$22,868,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,816,000
Employer contributions (assets) at end of year	2011-12-31	$1,174,000
Employer contributions (assets) at beginning of year	2011-12-31	$2,297,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,753,934
Did the plan have assets held for investment	2011-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	DELOITTE & TOUCHE LLP
Accountancy firm EIN	2011-12-31	133891517

Form 5500 Responses for XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES

2016: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: XYLEM BELL & GOSSETT PENSION PLAN FOR HOURLY EMPLOYEES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	XYLEM INC.
Employer identification number (EIN):	452080495
NAIC Classification:	333200