0001659166-16-000058.txt : 20161116
0001659166-16-000058.hdr.sgml : 20161116
20161116184734
ACCESSION NUMBER: 0001659166-16-000058
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161115
FILED AS OF DATE: 20161116
DATE AS OF CHANGE: 20161116
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Byrne Patrick J
CENTRAL INDEX KEY: 0001316476
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 162003492
MAIL ADDRESS:
STREET 1: 395 PAGE MILL ROAD
STREET 2: MS A3-18
CITY: PALO ALTO
STATE: CA
ZIP: 94306
4
1
wf-form4_147934004116124.xml
FORM 4
X0306
4
2016-11-15
0
0001659166
Fortive Corp
FTV
0001316476
Byrne Patrick J
6920 SEAWAY BLVD
EVERETT
WA
98203
0
1
0
0
Senior Vice President
Common Stock
2016-11-15
4
M
0
1292
A
7860
D
Common Stock
2016-11-15
4
F
0
470
54.12
D
7390
D
Restricted Stock Unit
2016-11-15
4
M
0
1292
0
D
Common Stock
1292.0
3874
D
Restricted stock units are payable in shares of common stock on a one-to-one basis.
In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on November 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 5,166 Restricted Stock Units of the Issuer vesting in four remaining equal annual installments beginning on November 15, 2016.
Daniel B. Kim, as attorney-in-fact
2016-11-16