0001659166-17-000134.txt : 20170517
0001659166-17-000134.hdr.sgml : 20170517
20170517074300
ACCESSION NUMBER: 0001659166-17-000134
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170515
FILED AS OF DATE: 20170517
DATE AS OF CHANGE: 20170517
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: Gafinowitz Martin
CENTRAL INDEX KEY: 0001671495
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 17850285
MAIL ADDRESS:
STREET 1: C/O FORTIVE CORPORATION
STREET 2: 6920 SEAWAY BOULEVARD
CITY: EVERETT
STATE: WA
ZIP: 98203
4
1
wf-form4_149502136529425.xml
FORM 4
X0306
4
2017-05-15
0
0001659166
Fortive Corp
FTV
0001671495
Gafinowitz Martin
6920 SEAWAY BLVD
EVERETT
WA
98203
0
1
0
0
Senior Vice President
Common Stock
2017-05-15
4
M
0
1161
A
51459.378
D
Common Stock
2017-05-15
4
F
0
553
62.22
D
50906.378
D
Restricted Stock Unit
2017-05-15
4
M
0
1161
0
D
Common Stock
1161.0
2324
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 May 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 3,485 Restricted Stock Units of the Issuer vesting in three remaining equal annual installments beginning on May 15, 2017.
Daniel B. Kim, as attorney-in-fact
2017-05-17