0000899243-16-024318.txt : 20160705 0000899243-16-024318.hdr.sgml : 20160705 20160705163413 ACCESSION NUMBER: 0000899243-16-024318 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160702 FILED AS OF DATE: 20160705 DATE AS OF CHANGE: 20160705 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) 347-6100 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DANAHER CORP /DE/ CENTRAL INDEX KEY: 0000313616 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 161750951 BUSINESS ADDRESS: STREET 1: 2200 PENNSYLVANIA AVE. N.W. STREET 2: SUITE 800W CITY: WASHINGTON STATE: DC ZIP: 20037-1701 BUSINESS PHONE: 2028280850 MAIL ADDRESS: STREET 1: 2200 PENNSYLVANIA AVE. N.W. STREET 2: SUITE 800W CITY: WASHINGTON STATE: DC ZIP: 20037-1701 FORMER NAME: FORMER CONFORMED NAME: DMG INC DATE OF NAME CHANGE: 19850221 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-07-02 1 0001659166 Fortive Corp FTV 0000313616 DANAHER CORP /DE/ 2200 PENNSYLVANIA AVE. N.W. SUITE 800W WASHINGTON DC 20037-1701 0 0 1 0 Common Stock 2016-07-02 4 J 0 345237561 0.00 D 0 D The transaction reported on this Form relates to the distribution to the Reporting Person's stockholders of shares of Issuer's common stock held by the Reporting Person, effective as of July 2, 2016 (the "Distribution"). To effect the Distribution, the issued and outstanding common stock of the Issuer, consisting of 100 shares of common stock prior to the Distribution, was recapitalized into 345,237,561 shares of the Issuer's common stock and distributed, by means of a pro rata dividend, to the holders of the Reporting Person's common stock (other than fractional shares, which will be aggregated and sold into the public market and the proceeds distributed to the stockholders of the Reporting Person). /s/ James F. O'Reilly--Vice President, Associate General Counsel and Secretary 2016-07-05