SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Walker Stacey A.

(Last) (First) (Middle)
6920 SEAWAY BLVD

(Street)
EVERETT WA 98203

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Fortive Corp [ FTV ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP - Human Resources
3. Date of Earliest Transaction (Month/Day/Year)
08/05/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/05/2019 M(1) 776 A $32.78 20,015 D
Common Stock 08/05/2019 M(1) 1,944 A $38.18 21,959 D
Common Stock 08/05/2019 M(1) 1,934 A $40.12 23,893 D
Common Stock 08/05/2019 M(1) 2,164 A $43.1 26,057 D
Common Stock 08/05/2019 M(1) 27,177 A $42.55 53,234 D
Common Stock 08/05/2019 S(1) 34,446 D $70.7 18,788 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $32.78 08/05/2019 M(1) 776 (2) 07/30/2023 Common Stock 776 $0 0 D
Employee Stock Option (Right to Buy) $38.18 08/05/2019 M(1) 1,944 (3) 07/15/2024 Common Stock 1,944 $0 0 D
Employee Stock Option (Right to Buy) $40.12 08/05/2019 M(1) 1,934 (4) 11/15/2024 Common Stock 1,934 $0 1,938 D
Employee Stock Option (Right to Buy) $43.1 08/05/2019 M(1) 2,164 (5) 07/15/2025 Common Stock 2,164 $0 1,083 D
Employee Stock Option (Right to Buy) $42.55 08/05/2019 M(1) 27,177 (6) 02/24/2026 Common Stock 27,177 $0 18,120 D
Explanation of Responses:
1. The transaction was effectuated pursuant to a Rule 10b5-1 trading plan.
2. In connection with the separation of the Issuer from Danaher Corporation ("Danaher") on July 2, 2016 (the "Separation"), options to purchase Danaher common stock issued by Danaher on July 30, 2013 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 2,324 shares of Issuer's common stock vesting in three remaining equal annual installments beginning on July 30, 2016.
3. In connection with the Separation, options to purchase Danaher common stock issued by Danaher on July 15, 2014 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 3,886 shares of Issuer's common stock vesting in four remaining equal annual installments beginning on July 15, 2016.
4. In connection with Separation, options to purchase Danaher common stock issued by Danaher on November 15, 2014 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 9,674 shares of Issuer's common stock, with options to purchase 1,934 shares fully vested and exercisable at the time of conversion and with the remainder of the options to purchase 7,740 shares vesting in four remaining equal annual installments beginning on November 15, 2016.
5. In connection with the Separation, options to purchase Danaher common stock issued by Danaher on July 15, 2015 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 5,411 shares of Issuer's common stock vesting in five equal annual installments beginning on July 15, 2016.
6. In connection with the Separation, options to purchase Danaher common stock issued by Danaher on February 24, 2016 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 45,297 shares of Issuer's common stock vesting in five equal annual installments beginning on February 24, 2017.
Remarks:
Daniel B. Kim, as attorney-in-fact 08/06/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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