0001659166-17-000210.txt : 20170731
0001659166-17-000210.hdr.sgml : 20170731
20170731175644
ACCESSION NUMBER: 0001659166-17-000210
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170728
FILED AS OF DATE: 20170731
DATE AS OF CHANGE: 20170731
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Walker Stacey A.
CENTRAL INDEX KEY: 0001670836
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 17994107
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_150153819121818.xml
FORM 4
X0306
4
2017-07-28
0
0001659166
Fortive Corp
FTV
0001670836
Walker Stacey A.
6920 SEAWAY BLVD
EVERETT
WA
98203
0
1
0
0
SVP - Human Resources
Common Stock
2017-07-28
4
M
0
310
A
4860
D
Common Stock
2017-07-28
4
F
0
85
64.47
D
4775
D
Common Stock
346.53
I
By 401(k)
Restricted Stock Unit
2017-07-28
4
M
0
310
0
D
Common Stock
310.0
309
D
Restricted stock units are payable in shares of common stock on a one-to-one basis.
Based on a plan statement dated as of June 30, 2017.
In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on July 30, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 929 Restricted Stock Units of the Issuer vesting in three remaining equal annual installments beginning on July 29, 2016.
Daniel B. Kim, as attorney-in-fact
2017-07-31