0000899243-17-018435.txt : 20170718 0000899243-17-018435.hdr.sgml : 20170718 20170718162348 ACCESSION NUMBER: 0000899243-17-018435 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170714 FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170718 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RALES STEVEN M CENTRAL INDEX KEY: 0001015013 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 17969749 MAIL ADDRESS: STREET 1: 1250 24TH ST NW STREET 2: 8TH FL CITY: WASHINGTON STATE: DC ZIP: 20037 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fortive Corp CENTRAL INDEX KEY: 0001659166 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6920 SEAWAY BLVD. CITY: EVERETT STATE: WA ZIP: 98203 BUSINESS PHONE: (425) 446-5000 MAIL ADDRESS: STREET 1: 6920 SEAWAY BLVD. CITY: EVERETT STATE: WA ZIP: 98203 FORMER COMPANY: FORMER CONFORMED NAME: TGA Holding Corp. DATE OF NAME CHANGE: 20151123 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-14 0 0001659166 Fortive Corp FTV 0001015013 RALES STEVEN M 2200 PENNSYLVANIA AVENUE, NW SUITE 800W WASHINGTON DC 20037 1 0 0 0 Common Stock, par value $0.01 2017-07-14 4 J 0 6195 0.00 D 0 I By 401(k) Common Stock, par value $0.01 4511620 D Common Stock, par value $0.01 17000000 I Through single-member LLCs The 401(k) plan trustee has unilaterally determined to eliminate the unitized stock fund holding issuer shares as an investment option within the 401(k) plan as of the reported transaction date. The 401(k) plan trustee will reinvest the proceeds into another investment option within the 401(k) plan. Represents the approximate number of issuer shares represented by the Reporting Person's holdings in the unitized stock fund of the 401(k) plan as of July 14, 2017. The reported shares are held through single-member LLCs. The Reporting Person is the sole member of these LLCs. By: /s/ Steven M. Rales 2017-07-18