FORM OF XYLEM 2011 OMNIBUS INCENTIVE PLAN2011 Non-Qualified Stock Option Award Agreement Founders Grant • November 21st, 2011 • Xylem Inc. • Pumps & pumping equipment • New York
Contract Type FiledNovember 21st, 2011 Company Industry JurisdictionTHIS AGREEMENT (the “Agreement”), effective as of the 7th day of November, 2011, by and between Xylem Inc. (the “Company”) and [name] (the “Optionee”), WITNESSETH: