SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Qasem Rami

(Last) (First) (Middle)
17021 ALDINE WESTFIELD ROAD

(Street)
HOUSTON TX 77073

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/19/2020
3. Issuer Name and Ticker or Trading Symbol
Baker Hughes Co [ BKR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Digital Solutions
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Unit 07/31/2018(1) (1) Class A Common Stock 9,633 (2) D
Restricted Stock Unit 01_18 01/22/2019(1) (1) Class A Common Stock 1,875 (2) D
Restricted Stock Unit 01_19 01/23/2020(1) (1) Class A Common Stock 10,879 (2) D
Restricted Stock Unit 01_20 01/22/2021(1) (1) Class A Common Stock 33,068 (2) D
Stock Option (Right to Buy) 07/31/2018(3) 07/31/2027 Class A Common Stock 15,108 36.89 D
Stock Option (Right to Buy) 01/22/2019(3) 01/22/2028 Class A Common Stock 17,761 35.55 D
Stock Option (Right to Buy) 01/23/2020(3) 01/23/2029 Class A Common Stock 58,869 22.98 D
Explanation of Responses:
1. The restricted stock unit vests in three equal annual installments beginning one year from the date of grant.
2. The restricted stock unit represents a right to receive without payment one share of Class A Common Stock of the Issuer.
3. The stock option vests in three equal annual installments beginning one year from the date of grant.
Remarks:
/s/ Lee Whitley, Attorney-in-fact 06/19/2020
** Signature of Reporting Person Date
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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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.
qasempoa2020
Limited Power of Attorney for Section 16 Reporting Obligations. I, Rami Qasem, hereby appoint Baker Hughes Company, to assist me in the preparation and filing of Section 16 reports, and execute the below Power of Attorney for this purpose. I am an officer of Baker Hughes Company, and until further written notice, I hereby individually authorize Lee Whitley (Vice President and Corporate Secretary) and Regina Jones (Chief Legal Officer) of Baker Hughes Company, to sign on my behalf any Form 3, Form 4, Form 5, Form 144 or related form that I have filed or may file hereafter in connection with my direct or indirect beneficial ownership of securities of Baker Hughes Company, and to take any other action of any type whatsoever in connection with the foregoing that in her or his opinion may be for the benefit of, in the best interest of, or legally required by me. June 08th 2020________________ Signed: ___________________________ Date Rami Qasem