0001659166-19-000080.txt : 20190227
0001659166-19-000080.hdr.sgml : 20190227
20190227180701
ACCESSION NUMBER: 0001659166-19-000080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190225
FILED AS OF DATE: 20190227
DATE AS OF CHANGE: 20190227
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: 19639316
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_155130880388984.xml
FORM 4
X0306
4
2019-02-25
0
0001659166
Fortive Corp
FTV
0001210231
LICO JAMES A
6920 SEAWAY BLVD
EVERETT
WA
98203
1
1
0
0
President and CEO
Common Stock
2019-02-25
4
A
0
48874
0
A
302984
D
Common Stock
2019-02-25
4
F
0
19232
81.60
D
283752
D
Common Stock
2019-02-25
4
A
0
9335
A
293087
D
Common Stock
2019-02-25
4
A
0
32295
A
325382
D
Common Stock
19402
I
By 401(k)
Employee Stock Option (Right to Buy)
81.6
2019-02-25
4
A
0
195710
0
A
2029-02-25
Common Stock
195710.0
195710
D
In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Performance Stock Units issued by Danaher on February 24, 2016 to the Reporting Person that remained unvested as of July 2, 2016 were cancelled and replaced with Performance Stock Awards ("PSAs") of the Issuer. This transaction is being reported in connection with the determination by the Compensation Committee of the Issuer (the "Committee") on February 25, 2019 that the performance criteria of the PSAs have been achieved. The shares remain subject to a two-year holding period requirement.
This transaction relates to the withholding of shares for tax purposes in connection with the vesting and distribution of PSAs.
On February 22, 2018, the Committee awarded the Reporting Person Restricted Stock Units ("RSUs") with the opportunity to earn additional RSUs ("Additional RSUs") upon achievement of corresponding performance criteria. This transaction is being reported in connection with the determination by the Committee on February 25, 2019 that the performance criteria of the Additional RSUs have been achieved. The Additional RSUs remain subject to time-based vesting provisions.
Restricted stock units are payable in shares of common stock on a one-to-one basis.
On February 25, 2019, the Committee awarded the Reporting Person RSUs. This transaction is being reported to identify the portion of the RSUs that are subject only to time-based vesting provisions. Pursuant to the terms of the award, additional RSUs may be issued upon determination by the Committee that the corresponding performance criteria have been achieved.
Based on a plan statement dated as of January 31, 2019.
One half of the options granted vest on each of the fourth and fifth anniversary of the grant date.
Daniel B. Kim, as attorney-in-fact
2019-02-27