0001659166-21-000024.txt : 20210127 0001659166-21-000024.hdr.sgml : 20210127 20210127183301 ACCESSION NUMBER: 0001659166-21-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210125 FILED AS OF DATE: 20210127 DATE AS OF CHANGE: 20210127 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: 21561339 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_161179036900318.xml FORM 4 X0306 4 2021-01-25 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 2021-01-25 4 A 0 3025 A 14009 D Common Stock 525 I By 401 (k) Common Stock 853 I By Spouse's 401 (k) On January 25, 2021, the Compensation Committee awarded the Reporting Person Restricted Stock Units ("RSUs"). This transactions is being reported to identify the portion of the RSUs that are subject only to time-based vesting provisions. Restricted stock units are payable in shares of common stock on a one-to-one basis. Based on plan statement dated as of December 31, 2020. Daniel B. Kim, as attorney-in-fact 2021-01-27