0001659166-16-000007.txt : 20160718 0001659166-16-000007.hdr.sgml : 20160718 20160718163536 ACCESSION NUMBER: 0001659166-16-000007 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: Walker Stacey A. CENTRAL INDEX KEY: 0001670836 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 161771816 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BOULEVARD CITY: EVERETT STATE: WA ZIP: 98203 4 1 wf-form4_146887412368466.xml FORM 4 X0306 4 2016-07-15 0 0001659166 Fortive Corp FTV 0001670836 Walker Stacey A. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 SVP - Human Resources Common Stock 2016-07-15 4 M 0 390 A 516 D Common Stock 2016-07-15 4 F 0 107 51.23 D 409 D Common Stock 2016-07-15 4 M 0 357 A 766 D Common Stock 2016-07-15 4 F 0 98 51.23 D 668 D Common Stock 345 I By 401(k) Restricted Stock Unit 2016-07-15 4 M 0 390 0 D Common Stock 390.0 1168 D Restricted Stock Unit 2016-07-15 4 M 0 357 0 D Common Stock 357.0 1427 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. Based on the closing price of Issuer common stock on July 15, 2016. 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 1,558 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 1,784 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