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