0001659166-17-000155.txt : 20170608
0001659166-17-000155.hdr.sgml : 20170608
20170608170208
ACCESSION NUMBER: 0001659166-17-000155
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170606
FILED AS OF DATE: 20170608
DATE AS OF CHANGE: 20170608
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: Dewan Feroz
CENTRAL INDEX KEY: 0001526826
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 17900802
MAIL ADDRESS:
STREET 1: C/O ARENA HOLDINGS MANAGEMENT LLC
STREET 2: 119 FIFTH AVENUE - 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10003
4
1
wf-form4_149695571168289.xml
FORM 4
X0306
4
2017-06-06
0
0001659166
Fortive Corp
FTV
0001526826
Dewan Feroz
6920 SEAWAY BLVD
EVERETT
WA
98203
1
0
0
0
Common Stock
2017-06-06
4
A
0
1400
0
A
2850
D
Employee Stock Option (Right to Buy)
63.2
2017-06-06
4
A
0
4240
0
A
2017-06-06
2027-06-06
Common Stock
4240.0
4240
D
On June 6, 2017, the Issuer granted to the Reporting Person restricted stock units (RSUs) of the Issuer in the amount indicated. Since the RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2018 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the first day of the seventh month following the Reporting Person's retirement from the Board of Directors of the Issuer.
Daniel B. Kim, as attorney-in-fact
2017-06-08