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