0001659166-17-000186.txt : 20170718 0001659166-17-000186.hdr.sgml : 20170718 20170718163753 ACCESSION NUMBER: 0001659166-17-000186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170714 FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170718 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: 17969884 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BOULEVARD CITY: EVERETT STATE: WA ZIP: 98203 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 4 1 wf-form4_150041026057867.xml FORM 4 X0306 4 2017-07-14 0 0001659166 Fortive Corp FTV 0001670810 Ratnakar Raj 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 VP - Strategic Development Common Stock 2017-07-14 4 M 0 519 A 519 D Common Stock 2017-07-14 4 F 0 159 64.56 D 360 D Common Stock 2017-07-14 4 M 0 476 A 836 D Common Stock 2017-07-14 4 F 0 146 64.56 D 690 D Restricted Stock Unit 2017-07-14 4 M 0 519 0 D Common Stock 519.0 1037 D Restricted Stock Unit 2017-07-14 4 M 0 476 0 D Common Stock 476.0 1426 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 July 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 2,075 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 2,378 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on July 15, 2016. Daniel B. Kim, as attorney-in-fact 2017-07-18