0001659166-19-000052.txt : 20190226
0001659166-19-000052.hdr.sgml : 20190226
20190226183159
ACCESSION NUMBER: 0001659166-19-000052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190222
FILED AS OF DATE: 20190226
DATE AS OF CHANGE: 20190226
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: 19635030
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_155122390580517.xml
FORM 4
X0306
4
2019-02-22
0
0001659166
Fortive Corp
FTV
0001210231
LICO JAMES A
6920 SEAWAY BLVD
EVERETT
WA
98203
1
1
0
0
President and CEO
Common Stock
2019-02-22
4
M
0
21870
A
256032
D
Common Stock
2019-02-22
4
M
0
9597
A
265629
D
Common Stock
2019-02-22
4
F
0
11519
81.37
D
254110
D
Common Stock
19402
I
By 401(k)
Restricted Stock Unit
2019-02-22
4
M
0
21870
0
D
Common Stock
21870.0
0
D
Restricted Stock Unit
2019-02-22
4
M
0
9597
0
D
Common Stock
9597.0
9599
D
Executive Deferred Incentive Program - Fortive Stock Fund
0.0
2019-02-22
4
A
0
3548.622
81.37
A
Common Stock
3548.622
99476.521
D
Restricted stock units are payable in shares of common stock on a one-to-one basis.
This transaction relates to the withholding of shares for tax purposes in connection with the vesting and distribution of restricted stock units.
Based on a plan statement dated as of January 31, 2019.
In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on February 24, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 43,741 Restricted Stock Units of the Issuer vesting in two equal annual installments beginning on February 23, 2018.
In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on February 24, 2015 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 19,196 Restricted Stock Units of the Issuer vesting in two equal annual installments beginning on February 22, 2019.
Compensation deferred or contributed into the Fortive stock fund (the "EDIP Stock Fund") under Fortive's Executive Deferred Incentive Program (the "EDIP") is deemed to be invested in a number of unfunded, notional shares of the Issuer's common stock based on the closing price of such common stock as reported on the NYSE on the date such compensation is credited to the EDIP Stock Fund (or the closing price for the immediately preceding business day, if such date is not a business day), which closing price is shown in Table II, Column 8.
The notional shares convert on a one-to-one basis.
The Reporting Person immediately vests in 100% of each voluntary contribution to the EDIP Stock Fund. The Reporting Person will vest in all contributions to the EDIP Stock Fund by the Issuer as follows: 100% upon the earlier of the Reporting Person's death, or upon retirement following at least 5 years of service with the Issuer and reaching the age of 55, or, if earlier, one-tenth per year of participation following five years of participation, in each case in accordance with the EDIP. Upon termination of employment, the vested portion of the EDIP Stock Fund is settled in the Issuer's common stock.
Daniel B. Kim, as attorney-in-fact
2019-02-26