0001659166-17-000079.txt : 20170227 0001659166-17-000079.hdr.sgml : 20170227 20170227190038 ACCESSION NUMBER: 0001659166-17-000079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170223 FILED AS OF DATE: 20170227 DATE AS OF CHANGE: 20170227 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: Pringle William W CENTRAL INDEX KEY: 0001670864 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 17644013 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BOULEVARD CITY: EVERETT STATE: WA ZIP: 98203 4 1 wf-form4_148824002461803.xml FORM 4 X0306 4 2017-02-23 0 0001659166 Fortive Corp FTV 0001670864 Pringle William W 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 Senior Vice President Common Stock 2017-02-24 4 M 0 1095 A 7572 D Common Stock 2017-02-24 4 M 0 1081 A 8653 D Common Stock 2017-02-24 4 M 0 3590 A 12243 D Common Stock 2017-02-24 4 F 0 1568 57.79 D 10675 D Employee Stock Option (Right to Buy) 57.26 2017-02-23 4 A 0 32160 0 A 2027-02-23 Common Stock 32160.0 32160 D Restricted Stock Unit 2017-02-24 4 M 0 1095 0 D Common Stock 1095.0 2189 D Restricted Stock Unit 2017-02-24 4 M 0 1081 0 D Common Stock 1081.0 3240 D Restricted Stock Unit 2017-02-24 4 M 0 3590 0 D Common Stock 3590.0 14356 D Restricted stock units are payable in shares of common stock on a one-to-one basis. One third of the options granted vest on each of the third, fourth, and fifth anniversary of the grant date. In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on February 24, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 3,284 Restricted Stock Units of the Issuer vesting in three remaining equal annual installments beginning on February 24, 2017. In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on February 24, 2015 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 4,321 Restricted Stock Units of the Issuer vesting in four remaining equal annual installments beginning on February 24, 2017. In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on February 24, 2016 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 17,946 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on February 24, 2017. Daniel B. Kim, as attorney-in-fact 2017-02-27