0000899243-20-015089.txt : 20200603
0000899243-20-015089.hdr.sgml : 20200603
20200603163022
ACCESSION NUMBER: 0000899243-20-015089
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200601
FILED AS OF DATE: 20200603
DATE AS OF CHANGE: 20200603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RALES MITCHELL P
CENTRAL INDEX KEY: 0001015014
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 20940410
BUSINESS ADDRESS:
STREET 1: 11790 GLEN ROAD
CITY: POTOMAC
STATE: MD
ZIP: 20854
BUSINESS PHONE: 301-299-2225
MAIL ADDRESS:
STREET 1: 11790 GLEN ROAD
CITY: POTOMAC
STATE: MD
ZIP: 20854
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-06-01
0
0001659166
Fortive Corp
FTV
0001015014
RALES MITCHELL P
11790 GLEN ROAD
POTOMAC
MD
20854
1
0
0
0
Common Stock
2020-06-01
4
A
0
2970
0.00
A
3014460
D
Common Stock
2020-06-01
4
A
0
1360
58.93
A
3015820
D
Common Stock
8000000
I
Through single-member LLCs
On June 1 2020, the Issuer granted to the Reporting Person restricted stock units ("Annual Grant RSUs") of the Issuer in the amount indicated as a portion of the annual equity grant made to the Reporting Person. Since the Annual Grant RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The Annual Grant RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2021 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the first day of the seventh month following the Reporting Person's retirement from the Board of Directors of the Issuer.
On June 1, 2020, the Issuer granted to the Reporting Person restricted stock units ("Deferral RSUs") of the Issuer in the amount indicated, based on a 20-day average price of $58.93, pursuant to deferral election made by the Reporting Person of $80,000 in annual retainer that would otherwise have been paid in cash. Since the Deferral RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The Deferral RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2021 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the first day of the seventh month following the Reporting Person's retirement from the Board of Directors of the Issuer.
The reported shares are held through single-member LLCs, of which a revocable trust with the Reporting Person as the sole trustee and beneficiary is the sole member.
/s/ Mitchell P. Rales
2020-06-03