0001659166-18-000132.txt : 20180503
0001659166-18-000132.hdr.sgml : 20180503
20180503170113
ACCESSION NUMBER: 0001659166-18-000132
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180501
FILED AS OF DATE: 20180503
DATE AS OF CHANGE: 20180503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LICO JAMES A
CENTRAL INDEX KEY: 0001210231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 18804754
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
wf-form4_152538121821190.xml
FORM 4
X0306
4
2018-05-01
0
0001659166
Fortive Corp
FTV
0001210231
LICO JAMES A
6920 SEAWAY BLVD
EVERETT
WA
98203
1
1
0
0
President and CEO
Common Stock
2018-05-01
4
I
0
14285.645
72.04
A
19344.903
I
By 401(k)
Common Stock
2018-05-02
4
M
0
75000
12.83
A
307442
D
Common Stock
2018-05-02
4
S
0
75000
71.93
D
232442
D
Common Stock
2018-05-02
5
G
0
E
9642
0
D
222800
D
Employee Stock Option (Right to Buy)
12.83
2018-05-02
4
M
0
75000
0
D
2019-02-24
Common Stock
75000.0
123298
D
The 401(k) plan trustee has unilaterally determined to eliminate as an investment option within the 401(k) plan the unitized Danaher stock fund holding shares of common stock of Danaher Corporation ("Danaher") that existed prior to the separation of the Issuer from Danaher on July 2, 2016 (the "Separation"). This transaction relates to the reinvestment of such proceeds into the unitized Fortive stock fund holding shares of the Issuer's common stock within the 401(k) plan.
The price reported in Table I, Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $71.90 to $71.94. The Reporting Person undertakes to provide to the Issuer, any security holder of Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein.
Prior to the Separation, one-half of the stock options issued by Danaher on February 24, 2009 ("2009 Danaher Options") to the Reporting Person became exercisable on the fourth and fifth anniversary of the grant date. In connection with the Separation, such fully-vested 2009 Danaher Options that remained unexercised as of July 2, 2016 were converted into fully-vested stock options to purchase 248,298 shares of the Issuer's common stock.
Daniel B. Kim, as attorney-in-fact
2018-05-03