0001659166-20-000195.txt : 20201104 0001659166-20-000195.hdr.sgml : 20201104 20201104164150 ACCESSION NUMBER: 0001659166-20-000195 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201102 FILED AS OF DATE: 20201104 DATE AS OF CHANGE: 20201104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hulit Barbara B. CENTRAL INDEX KEY: 0001682154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 201287271 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BLVD 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_160452609392167.xml FORM 4 X0306 4 2020-11-02 0 0001659166 Fortive Corp FTV 0001682154 Hulit Barbara B. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 Senior Vice President Common Stock 2020-11-02 4 M 0 41501 20.12 A 121516 D Common Stock 2020-11-02 4 M 0 58679 21.70 A 180195 D Common Stock 2020-11-02 4 S 0 100180 63.17 D 80015 D Employee Stock Option (Right to Buy) 20.12 2020-11-02 4 M 0 41501 0 D 2021-02-23 Common Stock 41501.0 0 D Employee Stock Option (Right to Buy) 21.7 2020-11-02 4 M 0 58679 0 D 2022-02-23 Common Stock 58679.0 0 D The transaction was effectuated pursuant to a Rule 10b5-1 trading plan. In connection with the spin-off of Vontier Corporation by the Issuer, outstanding Restricted Stock Units ("RSUs"), including RSUs previously granted to the Reporting Person, were subject to anti-dilution adjustments ("Anti-Dilution Adjustment"). To the extent that the outstanding RSUs granted to the Reporting Person were previously reported under Table I, the total number of shares reported include the additional RSUs held by the Reporting Person as a result of the Anti-Dilution Adjustment. The price reported in Table I, Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $62.775 to $63.540. 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"), the stock options issued by Danaher on February 23, 2011 ("2011 Danaher Options") to the Reporting Person became exercisable ratably on third, fourth and fifth anniversary of the grant date. In connection with the Separation, the 2011 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 34,504 shares of the Issuer's common stock with identical vesting schedule. In addition, the total number of stock options and the exercise price reflect an anti-dilution adjustment applied as a result of the spin-off of Vontier Corporation from the Issuer on October 9, 2020. Prior to the Separation, the stock options issued by Danaher on February 23, 2012 ("2012 Danaher Options") to the Reporting Person became exercisable ratably on third, fourth and fifth anniversary 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 48,786 shares of the Issuer's common stock with identical vesting schedule. In addition, the total number of stock options and the exercise price reflect an anti-dilution adjustment applied as a result of the spin-off of Vontier Corporation from the Issuer on October 9, 2020. Daniel B. Kim, as attorney-in-fact 2020-11-04