0001659166-17-000061.txt : 20170223
0001659166-17-000061.hdr.sgml : 20170223
20170223160228
ACCESSION NUMBER: 0001659166-17-000061
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170221
FILED AS OF DATE: 20170223
DATE AS OF CHANGE: 20170223
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: Hulit Barbara B.
CENTRAL INDEX KEY: 0001682154
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 17632411
MAIL ADDRESS:
STREET 1: C/O FORTIVE CORPORATION
STREET 2: 6920 SEAWAY BLVD
CITY: EVERETT
STATE: WA
ZIP: 98203
4
1
wf-form4_148788373571216.xml
FORM 4
X0306
4
2017-02-21
0
0001659166
Fortive Corp
FTV
0001682154
Hulit Barbara B.
6920 SEAWAY BLVD
EVERETT
WA
98203
0
1
0
0
Senior Vice President
Common Stock
2017-02-21
4
M
0
6215
A
9397
D
Common Stock
2017-02-21
4
F
0
1744
58.13
D
7653
D
Restricted Stock Unit
2017-02-21
4
M
0
6215
0
D
Common Stock
6215.0
6215
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 February 21, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 12,430 Restricted Stock Units of the Issuer vesting in two remaining equal annual installments beginning on February 21, 2017.
Daniel B. Kim, as attorney-in-fact
2017-02-23