0001659166-17-000141.txt : 20170524 0001659166-17-000141.hdr.sgml : 20170524 20170524215516 ACCESSION NUMBER: 0001659166-17-000141 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170523 FILED AS OF DATE: 20170524 DATE AS OF CHANGE: 20170524 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: Ratnakar Raj CENTRAL INDEX KEY: 0001670810 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 17868128 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BOULEVARD CITY: EVERETT STATE: WA ZIP: 98203 4 1 wf-form4_149567730031609.xml FORM 4 X0306 4 2017-05-23 0 0001659166 Fortive Corp FTV 0001670810 Ratnakar Raj 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 VP - Strategic Development Common Stock 2017-05-23 4 M 0 1852 25.52 A 5020 D Common Stock 2017-05-23 4 M 0 4032 32.78 A 9052 D Common Stock 2017-05-23 4 M 0 2590 38.18 A 11642 D Common Stock 2017-05-23 4 S 0 11642 62.31 D 0 D Employee Stock Option (Right to Buy) 25.52 2017-05-23 4 M 0 1852 0 D 2022-11-01 Common Stock 1852.0 1853 D Employee Stock Option (Right to Buy) 32.78 2017-05-23 4 M 0 4032 0 D 2023-07-30 Common Stock 4032.0 2690 D Employee Stock Option (Right to Buy) 38.18 2017-05-23 4 M 0 2590 0 D 2024-07-15 Common Stock 2590.0 3886 D The price reported in Table I, Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $62.131 to $62.420. The Reporting Person undertakes to provide to the Issuer, any security holder of Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein. Prior to the separation of the Issuer from Danaher Corporation ("Danaher") on July 2, 2016 (the "Separation"), Danaher issued stock options on November 1, 2012 ("2012 Danaher Options") to the Reporting Person with one-fifth of the 2012 Danaher Options exercisable on each of the first five anniversaries of the grant date. In connection with the Separation, the 2012 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 3,705 shares of the Issuer's common stock with identical remaining vesting schedule. Prior to the Separation, Danaher issued stock options on July 30, 2013 ("2013 Danaher Options") to the Reporting Person with one-fifth of the 2013 Danaher Options exercisable on each of the first five anniversaries of the grant date. In connection with the Separation, the 2013 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 6,722 shares of the Issuer's common stock with identical remaining vesting schedule. Prior to the Separation, Danaher issued stock options on July 15, 2014 ("2014 Danaher Options") to the Reporting Person with one-fifth of the 2014 Danaher Options exercisable on each of the first five anniversaries of the grant date. In connection with the Separation, the 2014 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 6,476 shares of the Issuer's common stock with identical remaining vesting schedule. Daniel B. Kim, as attorney-in-fact 2017-05-24