0001659166-20-000204.txt : 20201117 0001659166-20-000204.hdr.sgml : 20201117 20201117194012 ACCESSION NUMBER: 0001659166-20-000204 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201113 FILED AS OF DATE: 20201117 DATE AS OF CHANGE: 20201117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mulhall Christopher M. CENTRAL INDEX KEY: 0001791884 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 201322530 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_160565999600114.xml FORM 4 X0306 4 2020-11-13 0 0001659166 Fortive Corp FTV 0001791884 Mulhall Christopher M. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 VP - Chief Accounting Officer Common Stock 2020-11-13 4 F 0 239 70.95 D 10984 D Common Stock 2020-11-13 4 F 0 51 70.95 D 2669 I By Spouse Common Stock 525 I By 401 (k) Common Stock 853 I By Spouse's 401 (k) This transaction relates to the aggregate withholding of shares for tax purposes in connection with the vesting and distribution of previously granted RSUs. 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. In connection with the spin-off of Vontier Corporation by the Issuer, outstanding 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 spouse of the Reporting Person were previously reported under Table I, the total number of shares reported include the additional RSUs held by the spouse of the Reporting Person as a result of the Anti-Dilution Adjustment. Based on plan statement dated as of October 31, 2020. Daniel B. Kim, as attorney-in-fact 2020-11-17