401k Plan data: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES plan

XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 401k Plan overview

Plan Name	XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES
Plan identification number	241

XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
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 FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
241 2013-01-01 DAWN DERUE JOHN P. CONNOLLY 2014-10-15
241 2012-01-01 DAWN DERUE
241 2011-01-01 PAMELA SCHEID

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
241	2013-01-01	DAWN DERUE	JOHN P. CONNOLLY	2014-10-15
241	2012-01-01	DAWN DERUE
241	2011-01-01	PAMELA SCHEID

Plan Statistics for XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES

401k plan membership statisitcs for XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES

Measure Date Value
2013: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 1
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2013: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	1
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES

Measure	Date	Value
2013 : XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2013 401k financial data
Transfers to/from the plan	2013-12-31	$-8,662
Total income from all sources	2013-12-31	$-29
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$8,691
Value of fidelity bond covering the plan	2013-12-31	$15,000,000
Other income received	2013-12-31	$-29
Net income (gross income less expenses)	2013-12-31	$-29
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$8,691
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2012 401k financial data
Total income from all sources	2012-12-31	$1,983
Expenses. Total of all expenses incurred	2012-12-31	$5,205
Benefits paid (including direct rollovers)	2012-12-31	$5,205
Total plan assets at end of year	2012-12-31	$8,691
Total plan assets at beginning of year	2012-12-31	$11,913
Value of fidelity bond covering the plan	2012-12-31	$15,000,000
Other income received	2012-12-31	$1,983
Net income (gross income less expenses)	2012-12-31	$-3,222
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$8,691
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$11,913
Assets. Value of participant loans	2012-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES 2011 401k financial data
Total income from all sources	2011-12-31	$175
Expenses. Total of all expenses incurred	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$11,913
Total plan assets at beginning of year	2011-12-31	$11,738
Value of fidelity bond covering the plan	2011-12-31	$15,000,000
Other income received	2011-12-31	$175
Net income (gross income less expenses)	2011-12-31	$175
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$11,913
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$11,738
Assets. Value of participant loans	2011-12-31	$3,493
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0

Form 5500 Responses for XYLEM FLOJET SAVINGS PLAN FOR HOURLY EMPLOYEES

2013: XYLEM FLOJET SAVINGS 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	Yes
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	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: XYLEM FLOJET SAVINGS 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	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: XYLEM FLOJET SAVINGS 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	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	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