0001659166-16-000006.txt : 20160718
0001659166-16-000006.hdr.sgml : 20160718
20160718163521
ACCESSION NUMBER: 0001659166-16-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160715
FILED AS OF DATE: 20160718
DATE AS OF CHANGE: 20160718
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) 347-6100
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: McLaughlin Charles E
CENTRAL INDEX KEY: 0001671511
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 161771813
MAIL ADDRESS:
STREET 1: C/O FORTIVE CORPORATION
STREET 2: 6920 SEAWAY BOULEVARD
CITY: EVERETT
STATE: WA
ZIP: 98203
4
1
wf-form4_146887410831052.xml
FORM 4
X0306
4
2016-07-15
0
0001659166
Fortive Corp
FTV
0001671511
McLaughlin Charles E
6920 SEAWAY BLVD
EVERETT
WA
98203
0
1
0
0
SVP - Chief Financial Officer
Common Stock
2016-07-15
4
M
0
986
A
1154
D
Common Stock
2016-07-15
4
F
0
270
51.23
D
884
D
Common Stock
2016-07-15
4
M
0
904
A
1788
D
Common Stock
2016-07-15
4
F
0
267
51.23
D
1521
D
Common Stock
1
I
By Minor Child
Restricted Stock Unit
2016-07-15
4
M
0
986
0
D
Common Stock
986.0
2958
D
Restricted Stock Unit
2016-07-15
4
M
0
904
0
D
Common Stock
904.0
3616
D
Restricted stock units are payable in shares of common stock on a one-to-one basis.
Includes shares of Issuer common stock received in connection with the separation of Issuer from Danaher Corporation ("Danaher") and the distribution, by means of a pro rata dividend, of Issuer's common stock held by Danaher to the Danaher stockholders of record as of June 15, 2016 (except fractional shares, which were aggregated and sold into the public market and the proceeds distributed to Danaher stockholders that otherwise would have received such fractional shares) in an exempt transaction pursuant to Rule 16a-9.
In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on July 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 3,944 Restricted Stock Units of the Issuer vesting in four remaining equal annual installments beginning on July 15, 2016.
In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on July 15, 2015 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 4,520 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on July 15, 2016.
Daniel B. Kim, as attorney-in-fact
2016-07-18